H&S Children's Form
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Name of child
Child's date of birth
Name of Parent / carer
Relationship to child
Address
Town / village
City
Postcode
Telephone number
Email address
The personal data you have shared with us on your application form will only be used by us at Little Bird Art Studio as agreed by you in conjunction with the business of Little Bird Art Studio. Your personal data will not be shared with any third party.
Does your child have any special medical requirements, allergies etc.?
Yes
No
If yes, please give details
Does your child have any special dietary requirements?
Yes
No
If yes, please give details
Contact details in case of emergency
Names
Relationship to child
Contact telephone
Little Bird Art Studio permissions (Little Bird Art Studio will be referred to as LBAS in the following)
Would you like to hear about future LBAS events?
Yes
No
If yes (to question above) may we use your email address?
Yes
No
Your email address will only be used to email information about LBAS and will never be shared with third parties. If you would like to unsubscribe from this at any time please email us and we will remove your email address from our mailing list.
Are you happy for images of your child creating artwork to be used in LBAS Publicity?
Yes
No
Are you happy for picture of your children’s artwork to be used in LBAS Publicity?
Yes
No
Are you happy for your child to appear on the LBAS social media pages?
Yes
No
Are you happy for your child’s art work to appear on the LBAS social media pages?
Yes
No
If you have any other concerns or questions please contact us to discuss this.
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