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Registration Form - Rishworth & Rishworth Prep
*Classes at Rishworth School, Oldham Rd, Rishworth, HX6 4QA
*This form also covers online lessons
Contact us at 07891908912 or wildthingsjenny@gmail.com
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Email *
Student first name *
Student surname *
Student's Date of Birth (DD/MM/YYYY)
and School Year Group *
Parent/Guardian name *
Parent/Guardian mobile phone number.                                                                         *
Parent/Guardian address.                                                                         *
Medical / Allergies / Learning Difficulties *
Doctor's name / address *
We pride ourselves on treating each student as an individual.  In order to do so, it's always helpful to know a little bit about them in advance.  How does your son/daughter learn best?  Why are they interested in joining Wild Things LAMDA classes? *
I give permission for Wild Things to use photographs and/or video footage of my child for publicity purposes. *
Required
I understand that fees are payable termly, by GoCardless (DirectDebit).  Funds will be taken from my account on the 7th of the month prior to which the term begins - a £3 late fee applies to all late payments.   I understand that refunds are not available for part attendance.  I understand that any classes that, for any reason, cannot take place in person, will take place online, via Zoom. *
Required
Wild Things will use your contact details to keep in touch with you about classes and to ensure the smooth-running of the service we provide.  Would you also like to hear about additional products and services we offer? *
Required
How did you find out about us?  (If recommended, please state the name of the person who recommended our classes) *
PASSWORD: Please provide a password (in case someone else picks your child up from class).  If your child is over 11 and you are happy for them to leave class by themselves, please state below. *
I give permission, where a face to face class cannot take place, for my child to take part in scheduled online calls (via Zoom or similar platform to be agreed in advance).  I agree that my child will be fully dressed (no PJs) for all scheduled calls and that a responsible adult will be present on the premises for the duration of the call.  I agree that the email address provided above will be the one used for such calls.   *
I have read and understood and agree to the Wild Things Online Code of Conduct *
Required
I have read and understood and agree to the Wild Things Terms and Conditions *
(Full Ts&Cs available at  Terms and Conditions - In School)
Required
A copy of your responses will be emailed to the address you provided.
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