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Bromley Film Skool Deluxe Student Enrolment Form Winter 2023/24
Please fill in this form if you would like to enrol your child onto the Film Skool Deluxe Holiday and Food Programme.
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* Indicates required question
Dates, time & location
Session 1:
Friday 22nd December 10am - 2pm
Session 2:
Thursday 28th December
10am - 2pm
Session 3:
Friday 29th December
10am - 2pm
Filming day:
Tuesday 2nd January
10am - 4:30pm
@ Ripley Arts Centre
What borough do you live in?
*
Bromley
Parent/ Carer information
Parent/ Carer first name
*
Your answer
Parent/ Carer Surname
*
Your answer
Contact number
*
Your answer
Email address
*
Your answer
Home address
*
Your answer
Child/ young persons information
Child's first name
*
Your answer
Child's surname
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Age
*
Your answer
Gender
*
Male
Female
Prefer not to say
Ethnic group
*
Asian/ Asian British
Black/ African/ Caribbean/ Black British
Mixed/ multiple ethic groups
White
Other
Prefer not to say
Address
*
Your answer
Is your child eligible for free school meals?
*
Yes
No
Not sure
Disability and learning needs
We encourage you to answer the below questions honestly so that we can best support your child attending our programme. Please note that we may contact you via telephone to discuss your child’s needs in more detail, prior to them coming to our programme.
Does your child have a disability or learning need? If yes, please could you write a brief description. Please write N/A if the question does not apply to your child.
*
Your answer
Does your child have any emotional or behavioural difficulties that we should be aware of? Please write N/A if the question does not apply to your child.
*
Your answer
What support will your child need to attend our programme safely? Will this need to be on a one to one basis? Please write N/A if the question does not apply to your child.
*
Your answer
Is there anything that specifically causes your child to become upset or angry? Are there any “triggers” for them? Please write N/A if the question does not apply to your child.
*
Your answer
Is there anything else you would like us to know about your child? Please write N/A if the question does not apply to your child.
*
Your answer
Health & medical information
Does your child have a medical condition that we should be aware of? If yes, please provide a brief description. Please write N/A if the question does not apply to your child.
*
Your answer
Is your child on any prescribed medication? If yes, please specify the name and dosage. Please write N/A if the question does not apply to your child.
*
Your answer
Does your child have any food allergies or intolerance? Please write N/A if the question does not apply to your child.
*
Your answer
Does your child have any special dietary requirements?
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Vegan
Vegetarian
Halal
None
Other:
Required
Council & school information
What school does your child attend?
*
Your answer
Consent
Do you consent to the sharing of information described in the privacy form?
*
Yes
No
Do you consent to your child's school being informed of their attendance at this programme?
*
Yes
No
Do you consent to being contacted by text/ phone call/ email in relation to your child's booking?
*
Yes
No
Do you give permission for Film Skool Deluxe to use your child's photos and videos to showcase and share our curriculum, activities, and learning environment with our local community and for marketing purpose?
*
I/We give permission for our Child's photo and/or video to be utilise by Film Skool Deluxe
I/We do NOT give permission for our Child's photo and/or video to be utilise by Film Skool Deluxe
How did you hear of our programme?
*
Your answer
Any other comments
Your answer
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