Pantomime Registration Form
We keep this information to ensure we are providing the best service for your child
(We have reviewed our data collection and retention policy in line with the General Data Protection Act. If you would like more details please contact our Data Protection Officer (enquiries@actingoutdrama.com)
Email address *
Child's Name *
Your answer
Name the child prefers to be known by
Your answer
Child's Date of Birth *
MM
/
DD
/
YYYY
Child's Address including Postcode *
Your answer
Address and Contact Details of your child's main care giver if different from above
Your answer
The name of the person(s) who have parental responsibility for your child *
Your answer
Contact Phone numbers *
Your answer
Does your child have any allergies or medical conditions that you should inform us of? *
Your answer
In the case of medical conditions such as asthma, diabetes or epilepsy is there any medical information or medication that we should be aware of? *
Your answer
Please provide an emergency contact and telephone number *
Your answer
Who will be collecting your child from the pantomime ? *
Your answer
Is there anything else you would like us to know about your child ?
Your answer
I give permission for photos/filming of my child to be used for Acting Out/Launchpad/BS3 Community/General pantomime publicity
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