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Virtual Workshop Application Form
Virtual Workshop Application
Parent's Name
*
First
Last
This form must be filled in by the parent / legal guardian of the named child applying for a Workshop.
Child's Name
*
First
Last
Child's Age
*
Please enter a number from
4
to
18
.
Child's Date of Birth
Date Format: MM slash DD slash YYYY
Please type in the format of mm/dd/yyyy . For example if your child was born on the 16th August 2006 please type 08/16/2006 .
Child's Gender
*
Male
Female
Address
*
Street Address
Address Line 2
City
County
Post Code
Contact Telephone Number
*
By completing this field you are consenting to Little Voices contacting you by telephone to arrange a Virtual Workshop for your child.
Contact Mobile Number
*
Email Address
*
What workshop(s) you're applying for?
*
Experience to date (eg.any relevant Examinations taken or performances etc.)
*
Yes
No
Please give details.
*
Are there any medical conditions or medication that your child is taking that we need to be aware of?*
*
Yes
No
Please give details.
*
How did you find out about Little Voices?
A friend or relative
Social media
A newspaper/website ad
A search engine (eg Google)
Another school
Other
Emergency Contact Name
*
Emergency Contact Number
*
Is there anything else you would like to tell us?
(eg are there any friends that currently attend Little Voices that your child would wish to be in a group with?)
I consent to Little Voices using my personal data to organise a Virtual Lesson for my child.
Yes
No
I give Little Voices permission to record the workshop.
Yes
No
Workshops are recorded for safeguarding purposes ONLY.
Electronic Signature
Please print your name above.
Important Information
I consent to Little Voices using my personal data relating to my child for the purposes of organising a Workshop and in accordance with the Little Voices terms and conditions and privacy policy.
I confirm that I am the parent / legal guardian for the child named above.
I consent to Little Voices contacting me with news by telephone, email, post and text, newsletters about the lessons, workshops, theatre weeks and events that it runs. I understand that my personal information is not shared outside of Little Voices for 3rd party marketing purposes. Personal data is only used in relation to Little Voices. I understand that I can withdraw my consent at any time by notifying Little Voices.
By submitting this form I give permission for the above named child to attend Little Voices for a Workshop at the venue and on the dates confirmed once the application is submitted, approved and processed. I accept that any property that is lost or stolen on during this time is not the responsibility of Little Voices. I confirm that all the information given is accurate. Little Voices cannot accept responsibility for any inaccurate information provided. I confirm that I will collect my child in person at the end of the Workshop or I will inform Little Voices of who will be collecting my child. I understand I may be required to give more information to support my application.
Disclaimer: Little Voices cannot guarantee the strength of signal and cannot be held responsible for internet speed at either end
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Contact
Principal:
Laura Ray
Telephone:
07718 313299
Email Address:
rutland@littlevoices.org.uk
Venue
Studio E
2 Princess Avenue,
Oakham,
Rutland,
LE15 6AY
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