Name of workshop participant *

First Name

Last Name

Please give the child's date of birth *

MM

DD

YYYY

Parent / carer *

First Name

Last Name

Phone number *

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

MissAdventures Theatre Company take pictures of workshops, classes and performances for promotional use in print and online *

Please indicate below whether you are happy that your child is included in any photographs.

Yes

No

MissAdventures Theatre Company keep all registration forms on file. They are kept confidentially and securely *

I am happy for my information to be kept securely after the event.

Yes

No

MissAdventures Theatre Company would like to keep you informed of any future workshops, productions, events or activites that may interest you *

I am happy to be kept informed.

Yes

No

MissAdventures Theatre Company occasionally use face paints & temporary wash-off tattoos within the classes for themed activities *

I am happy for face paints and temporary tattoos to be used.

Yes

No