Booking Form Student Name * First Name Last Name Student Age * Student DOB * MM DD YYYY Parent/ Guardian Name * First Name Last Name Parent/ Guardian Contact Number * (###) ### #### Parent/ Guardian Email * How did you hear about this workshop? * Any medical conditions? * By clicking the tick box, I agree that I am the Parent/ Guardian of the above named student and that I have read, understood and accept the *Terms and Conditions * Yes, I agree Additional information Would you like us to add your details to our mailing list? Yes please No thank you I have already signed up Thank you, we’ll be in touch shortly to confirm your booking. Sending light and love xo *Terms and Conditions Everyone is accepted, valued, encouraged and celebrated for their uniqueness and individuality.