Hero Training Academy- Summer School 19

Name of child *

First

Last

Age

Address:

What mornings will your child be attending? *

Monday
Tuesday
Wednesday
All 3 mornings

How did you find out about us?

Parent/Guardian Email address *

Child's medical details (please include allergies, injuries, special treatments and/or additional needs):

Emergency contact name *

First

Last

Emergency contact phone number:

Do you consent to your data being added to our database for communication purposes, eg information about future events and newsletters:

Yes
No

If Yes, please circle how we can communicate with you:

Email
Text message
Phone call

Do you consent to your data being added to our database so we can use your details at future events (and prevents the need for additional forms to be completed)

Yes
No

Do you give permission for Expressions Academy to record and use video footage or photographic images of your child for website, social media and future advertising.

I do give permission
I do NOT give permission

Date of form completed and submitted:

Ticket	Seats Available	Amount GBP	Select	Ticket Amount GBP	Total Amount GBP
				0	0
				0
				0

August 19, 2019