Spring 2017 Course/Event Booking Form

Thank you for showing an interest in our courses and events.

In this form you will be able to choose the courses or events you are interested in. You will receive a confirmation of your booking from a member of our team.

For further information about a course please see our website or speak to a member of staff:
www.greenfield-arts.co.uk/courses-activities
01325 379048
info@greenfield-arts.co.uk

Which course would you like to book onto?

*This question is required.

2. Please indicate if you are showing an interest in our courses but would like more time to think it over or if you are happy to complete your enrolment and therefore confirm your attendance.

3. Name

(If you are completing this for a young person under 16 please put parental details here, details for the young person will follow)

*This question is required.

4. Email address

(We will use this to send you a confirmation of your booking, if you do not complete this section we will not be in touch until nearer the start of the course) This question requires a valid email address.

5. Phone Number *This question is required.

6. Home Address

7. Where did you hear about us?

8. Would you like to be added to our mailing list?

Under 16 Enrolment Section

Name

Date of birth

(Under 8's must be accompanied by an adult)
This question requires a valid date format of MM/DD/YYYY.

calendar

Photo Consent

By ticking the below box you give consent to photographs and film being taken during this course/activity which will be used for evaluation and promotional purposes.

Medical Conditions