Two-Day Intensive Workshop Registration Form

Parent's Name *

Email Address

Telephone Number

Location

How did you hear about the Workshop?

Payment for Workshop

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Occasionally, written testimonials, photos or videos of our students will be taken for our marketing purposes in our newsletters, or for our social media channels.

I consent I do not consent

We may choose some of your work during the workshop to be published on our website or blog. All credit will be given to the authors. Please let us know if you wish to opt out of having your work published.

I consent for my work to be published online and in print I do not consent for my work to be published online and in print

Signature (Name or Initials)

Date

Two-Day Intensive Workshop Registration Form

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