intake-form | VictoriaHarrisonArt

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Clay Club Registration Form

Please note: we operate a Safe Collection Policy and all children must be given a collection word in order for them to be released to an adult.

Once you have completed registration you will be redirected to the payment page.

Beyond Photographs/Victoria Harrison Art

After-school Clay Club registration form

First name

Last name

Year Group

School

Name of parent/guardian

Emergency telephone number

Parent email address

Medical conditions/allergies/special requirements

Password to collect (this must be given by the collecting adult).

I give consent for the club staff to administer basic first aid (e.g., plasters, cleaning minor cuts) to my child when necessary. In the event of a serious medical emergency,where I cannot be reached, I authorise staff to seek immediate medical attention.

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Photographs of children may be taken to demonstrate the activities of the club and shared by Beyond Photographs/Victoria Harrison Art. Your child will not be identifiable in these photographs.

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.