NLPAC Online Class Booking & Student Info
Parents/Carers First Name: *
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Parents/Carers Last Name: *
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Address: *
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Post Code: *
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Contact Number: *
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Email Address: *
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Emergency Contact Name: *
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Emergency Contact Relation to Student: *
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Emergency Contact Number: *
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Student First Name: *
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Student Last Name: *
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Student Date of Birth: *
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Relevant Medical Information *
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Special Educational Needs *
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Class of interest (Please specify day) *
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Media Release
While we do allow parents to film and take photographs of the shows, please ensure that they are for personal use only and not uploaded to any social media

Occasionally NLPAC is visited by the local press who run features on our classes and events. Classes, workshops and shows may be filmed/photographed and used for internal marketing purposes.
Please confirm you give consent for your child to take part in these events or photographed for these purposes. *
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Privacy Policy
You can find out how we collect and securely store data by viewing our Privacy Policy on our website here: https://nlpac.co.uk/about/privacy-policy/
I accept the NLPAC Privacy Policy *
Terms & Conditions
You can view our Terms & Conditions on our website here: https://nlpac.co.uk/about/terms-conditions/
I accept the NLPAC Terms & Conditions *
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