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KCAT Kids Summer Studio Application Form
I would like to enrol my child in the KCAT Kids Summer Studio 2017 from 17th July to 21st July, 10 am to 12.30 pm.
Full Name of child
Your answer
Guardian/parents name
Your answer
Address
Your answer
Email
Your answer
Telephone
Your answer
Relationship to child
Your answer
Name and number of person who will drop off and collect child
Your answer
Emergency Contact: name, relationship to child and contact number:
Your answer
Any Special Requirements – Medical or Dietary:
Your answer
All written correspondence to you can be emailed.
I would like to be added to the KCAT Mailing List to receive updates on up- coming courses, workshops and exhibitions
I consent to the use of photographs/film/video taken in relation to KCAT activities for promotional/ publication purposes.
Signed
Your answer
Disclaimer
The information contained in this form will be held in accordance with the Data Protection Act.
I have informed KCAT of any allergies or medical issues which may arise during the workshops.
Permission to use KCAT Facilities implies that all conduct is in line with KCAT’s ethos, policies and activities.
Participants are responsible for loss or damage of equipment, supplies, materials or any personal property owned by those attending sessions of the KCAT Kids Summer Studio 2017.
In addition, KCAT and its employees are not to be held liable for any and all claims of injuries, which may arise in connection with improper use of space and equipment.
signed by participant
Your answer
signed by parent/guardian
Your answer
note
Please ensure that your child wears comfortable old clothes and bring s a drink and a small snack with them.
Please ensure that your child arrives on time and is collected at 12.30 pm promptly.
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