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Back to the Future
One Day Workshop 2023 Form
Sunday 8th October 2023
Students First Name
Students Surname Name
Student DOB
Parent/Guardian First Name
Parent/Guardian Email
Parent/Guardian Surname Name
Parent/Guardian Number
What Academy do they attend?
Choose an option
Emergency Contact Name
Emergency Contact Number
Address
Medical/Allergies/Medication
Do you give permission for your child to leave the workshop unattended
Choose an option
Do you give permission for your child to leave the workshop for lunch unattended
Choose an option
Additional information
Your Signature
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I accept terms & conditions
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Performing Arts Sussex
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