KCAT Young Adult’s Summer Studio Application Form

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I would like to enrol my young adult in the KCAT Young Adult’s Summer Studio 2017 from 17th July to 21st July, 2 pm to 4.30 pm

Full Name of young adult

Date of Birth

YYYY

Guardian/parents name

Address

Telephone

Relationship to Young Adult

All written correspondence to you can be emailed

Yes

Clear selection

I would like to be added to the KCAT Mailing List to receive updates on upcoming courses, workshops and exhibitions

Yes

Clear selection

I consent to the use of photographs/film/video taken in relation to KCAT activities for promotional/ publication purposes. Please tick box to agree.

yes

Signed

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 Young Adult’s 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.

Participant Signature

Guardian/parent Signature

Submit

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