INK EASTER HOLIDAY WORKSHOP RegistrationALDE VALLEY, LEISTON OR EDGAR SEWTER, HALESWORTH Which workshop would you like to book? ALDE VALLEY - 12-16 YEARS EDGAR SEWTER - 8-11 YEARS Name of workshop participant * First Name Last Name Please give the child's date of birth * MM DD YYYY Medical information Please list any medical information/ behavioural conditions/allergies or anything else we need to be aware of while your child is with us. EMERGENCY CONTACT Parent / carer * First Name Last Name Email * Phone number * (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country PLEASE READ THE FOLLOWING Has your child performed more than two times in public in the last 6 months? * This is for Child Performance Regulations Yes No INK 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 INK 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 INK 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 By submitting your form, you indicate that you have included all relevant details and are happy for your child to participate. If you have any questions, please contact tor@inkfestival.org Thank you for your information.