Young Arts Easter Workshop Enrolment form Year 10-11

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

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Young Arts Easter Workshop Enrolment form Year 10-11

Young Arts Easter Workshop Enrolment form Year 10-11

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