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KCAT Young Adult’s Summer Studio Application Form
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
Your answer
Date of Birth
MM
/
DD
/
YYYY
Guardian/parents name
Your answer
Address
Your answer
Email
Your answer
Telephone
Your answer
Relationship to Young Adult
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 upcoming courses, workshops and exhibitions
I consent to the use of photographs/film/video taken in relation to KCAT activities for promotional/ publication purposes. Please tick box to agree.
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 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
Your answer
Guardian/parent Signature
Your answer
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