Please enable JavaScript in your browser to complete this form. Name * First Last DOB & Year Group * School * Parent/Guardian Name * Email * Parent/Guardian Emergency Contact Number * Health information Suffered from fits/epilepsy Suffered from asthma or other chest illnesses Under medical supervision or taking tablets or medicine Wears a hearing aid or has trouble hearing Wears glasses or contact lenses or has trouble hearing Registered disabled Other health conditions the College should know about Other mobility conditions we should be aware of Please select any that apply to your child. If you have selected any of the above, please provide details: I give permission for my child and/or their work to be photographed * Yes No I have completed the 'Health Information' * Yes No We would like to keep you up to date via email regarding Spring & Summer Workshops, as well as relevant HCA workshops, events, competitions, and courses, that we think will interest you. You can opt out at any time. All personal information will be treated as private and confidential. We will never intentionally sell, rent, trade or giveaway any user’s personal information to third party companies. For more information on data protection see www.hca.ac.uk/privacy. Please tick- Yes please keep me up to date via email Please tick to confirm all the above information is correct. * Please tick Submit