Workshop Booking Form

Paris Performing Arts Summer Workshop

* Indicates required field

Child Name *

First

Last

Current School Attending *

Child DOB *

Select One *

Parent Name *

First

Last

Mobile Contact No *

Emergency Contact No *

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Workshop days attending *

20th August only £22 21st August only £22 20th & 21st August £40

I confirm my child is fit & healthy to perform in dance and exercise based activities *

Yes

Does your child suffer from any medical conditions or allergies that we should be aware of *

Yes No

Please give details *

Please tick the below options to register your child *

I agree to the T&C's & Data Protection provided by Paris Performing Arts

I agree to my child being photographed/recorded for advertising/reference purposes only *

Yes No

Paris Performing Arts Terms & Conditions can be viewed here
Paris Performing Arts Data Protection Policy can be viewed here

Please make payment via PayPal using your child's name as reference at www.paypal.com Paypal email is perform@paris-arts.co.uk

I agree to receiving marketing and promotional materials

Submit