BOOKING FORM

at The Art Room

To book your child’s place, please complete and submit this form.

YOUR DETAILS

Name

First Name

Last Name

Email address

Contact phone number - to be available while child attending classes

(###)

###

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Alternative contact name and phone number – emergency use only

CHILD'S DETAILS

Child's name

Child's age

CLASS INFORMATION

Class options

Preschool Autumn 1 (Oct 10, 17): £20

Preschool Autumn 2 (Nov 7, 14, 21, 28, Dec 5, 12): £54 (10% discount)

Primary Autumn 1 (Oct 10, 17): £30

Primary Autumn 2 (Nov 7, 14, 21, 28, Dec 5, 12): £81 (10% discount)

Single drop-in preschool class: £10

Single drop-in primary class: £15

Date of single drop-in class if applicable.

Preferred class time

ADDITIONAL INFORMATION

Detail of any allergies/medical conditions. Please include individual emergency care plan details to be followed should your child suffer an allergic reaction during a class.

Detail of any special needs. Please include any extra support your child may benefit from during our classes, so we can best look after and teach them while in our care. For example, any behavioural, educational or sensory needs. Alternatively, feel free to request a phone call to discuss any needs as part of a relaxed and confidential conversation.

CONSENTS

I consent to class photos that include my child being used in selective marketing activity for The Art Room, eg on our social media channels.

Yes

I confirm I have read, understood and agree to abide by The Art Room's Terms & Conditions.

Yes

MARKETING

How did you hear about The Art Room?