Children and Teens Trial Form

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HOME
CLASSES
BEHIND THE SCENES
CASTING & AUDITION
MORE
JOIN HERE

CHILDREN AND TEENS Trial SESSION

We are looking forward to seeing you at your first session. Before you attend, please take a few minutes to complete the following information. Thank you.

CHILD DETAILS:

* Indicates required field

Name *

First

Last

Date of Birth *

DD/MM/YYYY

PARENT/GUARDIAN CONTACT DETAILS:

Name *

First

Last

Address *

Please include: 1st Line of Address, City/Town, County.

Post Code *

Email *

Mobile Telephone Number *

Home Telephone Number *

Relationship to Child *

MEDICAL INFORMATION:

If there are any medical conditions we need to be aware of, please fill in the information below. If this is not applicable, leave this space blank.

Conditions *

I have not been diagnosed with or cared for someone diagnosed with COVID-19 in the past two weeks *

Yes, I have No, I have not

I have not shown symptoms of COVID-19 or come in close contact with anyone exhibiting these symptoms in the past two weeks. *

Yes, I have No, I have not

If I, or my child, begin to show symptoms of Covid19 or come into contact or caring for anyone showing symptoms of Covid19 I will inform IPM *

Yes No

I, or my child, will follow all the social distancing guidances while attending sessions in studio *

Yes No

DISCLAIMER

If I feel uncomfortable with any of the class exercises, games or modules; I will inform the class teacher immediately. I understand that this is NOT a formal offer to attend IPM Acting Academy, a decision will be ultimately made at the end of the trial session. I agree to take full responsibility for myself and for everything that happens to me in relation to the acting classes.

Please tick this box if you would NOT like your photograph to appear in any of our publicity material such as brochures, advertisements, our website and/or workshop content. Ticking this box may exclude you from some of our future projects. *

I do NOT give consent for my photograph to be used.

The personal data included in this form will be 'Processed' (as such terms are defined in the Data Protection Act 2018) by IPM, for the purpose of administration. IPM will not disclose this information to third parties for marketing purposes but may itself provide you with company marketing information.

NAME *

I agree to the disclaimer and confirm that the above information is correct to the best of my knowledge. *

Yes

Submit

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