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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?
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Emergency Contact Name
Emergency Contact Number
Address
Medical/Allergies/Medication
Do you give permission for your child to leave the workshop unattended
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Do you give permission for your child to leave the workshop for lunch unattended
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Additional information
Your Signature
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I accept terms & conditions
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Performing Arts Sussex
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