Which Summerschool would you like to join? *

Child's Full Name *

Child's Date of Birth *

Child's Age *

Child's Sex *

Parent/Guardian's Name *

Child's Address *

PostCode *

Telephone Number *

Mobile *

E-mail Address *

Which full time school does your child attend? *

Emergency Contact Details. Please provide more than one answer *

Does your child have any medical issues/allergies that we should be aware of? Please give details. *

Do we have your permission to seek medical advice/treatment in an emergency? *

Please tick to confirm that this information can be stored so that we can generate attendance registers and send you new term information etc as soon as we're able *

• I give permission for my child to be photographed and filmed during any Theatretrain activity as a teaching aid and for promotional material. • I understand that the nature of the Performing Arts means that the photographing and filming of my child may be a regular occurrence and that these images may be stored or filed. • I agree to my child representing themselves as a member of the Theatretrain team in any newspaper or television articles and agree to the publication of their image and their name in such articles. • I agree that at any time, should I wish for my child not to participate in activities which will be filmed or photographed, I will provide Theatretrain with a written request. *

Do you agree to the above terms and conditions *

You will find details of our additional COVID-19 policies and procedures here: https://chest95.wixsite.com/covid

Where did you hear about Theatretrain? *

Please type your full name to confirm that the above information is correct *