Young People Registration Form

Parent/Guardian Details

Name

Phone Number

Does the person named above have parental responsibility?

Does anyone else have parental responsibility for the child you are booking on this course?

Child's Details

Child's Name

What s/he likes to be called

Date of Birth

First Language

School Attended

Address

City

Zip / Postal code

Emergency Contact Details

Please provide details of 2 people we can contact if we are unable to get hold of you.

Contact 1

Please provide Name, Address, Phone/Mobile number and relationship to the Child.

Contact 2

Please provide Name, Address, Phone/Mobile number and relationship to the Child.

Child's Doctor

Please provide the Name, Address and Phone number for your child's Doctor

About Your Child

Please detail any additional/special needs your child has

What are your child's favourite activities?

Does your child have any allergies?

Yes

If Yes, please specify these allergies here:

Photography and Video Consent

Craven Arts Charitable Trust may take images or videos for promotional or publicity purposes. We take the issue of data protection very seriously and would never knowingly use an image or video without your consent.

This form asks you for consent for Craven Arts Charitable Trust to use your (or your child’s) image. We ask you to read through the following statements and information below.

If you have any questions, please contact info@cravenarts.co.uk

Having read the statements above, please check the box below if you give consent for your or child’s image/video to be used.