Autumn 2018 Course Booking Form

Thank you for showing an interest in our courses.

In this form you will be able to choose the courses you would like to book onto. Please complete one form per individual and/or course you are joining. You will receive an email confirmation of your booking upon completion.

Please note our Spanish Beginners Course is now full to join our reserve list please call our friendly team on 01325 379048 for further assistance.

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.

Yoga - Wednesdays 6pm - 7:15pm	Floral Art - Fridays 1:30pm - 3:30pm	Exploring Collage - Tuesdays 6:30pm - 8:30pm	Glass Painting - Thursdays 6pm - 8pm	One Stroke Painting - Friday 10th August 10 am - 12.30 pm	Laughter Yoga - Monday 15th October 2018
Yoga - Wednesdays 6pm - 7:15pm	Floral Art - Fridays 1:30pm - 3:30pm	Exploring Collage - Tuesdays 6:30pm - 8:30pm	Glass Painting - Thursdays 6pm - 8pm	One Stroke Painting - Friday 10th August 10 am - 12.30 pm	Laughter Yoga - Monday 15th October 2018

2. Name

(If you are completing this on behalf of a young person under 16, please input the parental details here and space to input the details of the young person will follow further down the page)

*This question is required.

3. 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 unless necessary) This question requires a valid email address.

Retype email address This question requires a valid email address.

4. Are you completing this on behalf of someone under the age of 16?

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? (We need your permission to store your data, please see our privacy statement on our website for further information) *This question is required.

Under 16 Enrolment Section

Please now enter the details of the young person who will attend.

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:

Please indicate if you give consent to photographs and film being taken during this course/activity which will be used for evaluation and promotional purposes.
*This question is required.

Medical Conditions