Little Voices Drama and Singing Lessons of Distinction

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

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*

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?

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

Virtual Workshop Application

Contact

Venue

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