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Inspire Academy of Dance - Halloween Camp 30th October 2019
Please complete the below form in full to confirm your space on our Halloween Camp this year.
Location: Copthorne Junior School
Times: 9am - 3.30pm
Who: Anyone aged 3 years plus!
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Come and have some spooky dance fun!
PERSONAL DETAILS
Please complete the below details in full.
Name of Child/Children
*
Your answer
Age of Child
*
Your answer
Are they are current student of Inspire Academy of Dance?
*
Yes
No
Name of Parent or Guardian
*
Your answer
Home Address
*
Your answer
Contact numbers - Home/work/mobile
*
Your answer
Email Address
*
Your answer
MEDICAL INFORMATION
Please ensure that the medical information is completed in full. You may not be able to leave your child without this information.
Please give full details of any allergies, special needs, dietary restrictions, illness etc. and anything else you feel relevant.
*
Your answer
I will notify Inspire School of any specific medication that may need to be administered to my child, and provide clear written instruction.
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YES
I will inform the Inspire staff of any changes or updates to the information within this form in writing on arrival at the holiday School.
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YES
PARENTAL CONSENT
I consent to my child having their photo taken
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YES
NO
I consent to my child playing outside
*
YES
NO
I consent to my child receiving biscuits and juice
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YES
NO
GDPR
The dance school may get in touch with you in regards to the holiday school that you have signed up to.
If you wish for us to get in touch with you about other holiday camps in the future, please tick yes
*
YES
NO
Required
If you wish for us to get in touch with you in regards to other aspects of the dance school such as classes and events, please tick yes
*
YES
NO
Required
PAYMENT AND OTHER INFORMATION
Please ensure that your child has a packed lunch and sufficient water with them.
Payment method - Account Number: 41434896 Sort Code: 40-24-37 - Reference HC and Childs Name (Payment due date - 24th October 2019)
*
I have made payment with form submission
I will make payment before the payment deadline
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