Days
30th July 201831st July 20181st August 20182nd August 20183rd August 2018

I require extra hours on...
30th July 201831st July 20181st August 20182nd August 20183rd August 2018

Child's Name

Date of Birth

Parent or Guardian's Name

Address

Email

Mobile Number

What year is your child currently in at school?

Does your child currently attend RPA sessions? If so, please select their class.

Does your child have any allergies?
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Details

I give permission for my child/ren to be photographed/videoed in class by RPA teachers to give feedback on performance skills

I give permission for my child/ren to be photographed/videoed in class by parents, family & friends during school performances

I give permission for my child/ren to be photographed/videoed at public performances (e.g. Steam, Big Arts Day, etc.)

I give permission for all of the above film & photographs to be used for marketing purposes on/in:

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