Westfield Productions Summer Workshop
Complete the form below to sign your child up to the summer school.
Payment needs to be made via BACs once the form is submitted to confirm your child's space.
Please select date below *
Child's Full Name *
Your answer
Child's Age *
Your answer
Who will be collecting the child? *
Your answer
Contact to confirm booking *
Your answer
Emergency Contact Information
Full name, please note relationship to child *
Your answer
Address & telephone number *
Your answer
Photography/filming consent
I give permission for Westfield Productions to publish, republish or otherwise share still and moving image and audio of my child for the purpose of:

• Website, social media, and other digital communications

• Publicity, fundraising and advertising material both online and in print

I understand the still and moving images and audio will be stored electronically in accordance with General Data Protection Regulations and may be used, as detailed above.

Medical Information
Does the participant have any medical, dietary or additional needs we should be aware of? Please note below
Your answer
In the event that no one can be contacted, emergency services may be called if necessary and I understand that the participant may be taken to hospital accompanied by two adults including; a member of the executive committee or an appointed children's representative who will allow other professionals to make decisions in the best interest of your child (i.e. medical staff).

Payment & T&Cs
Payment is to be made once this form has been submitted using the details below. Once payment is made no refunds can be given unless Westfield Productions cancels the workshops. By completing this form you are acknowledging all the above information and agreeing to the data provided.

£15 for one day
£25 for both days

Bank details:
Reference: Workshop (& your child's name)
Sort code: 30 - 90 - 34
Account code: 00974996

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