Locality Studios

Child's Details *

First Name

Last Name

Gender *

Male

Female

Prefer to self-describe

Prefer not to say

Parent / Carer Details *

First Name

Last Name

Is your child eligible for Free School Meals *

Yes

No

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Emergency Contact Details (if different from above)

First Name

Last Name

Parent / Carer Consent *

Please tick both boxes below

I consent to the child named above attending CMA’s New Addington after school sessions.

I agree that the child’s sensitive personal information can be processed to provide services by Croydon Music and Arts and our delivery partners. (Consent can be withdrawn at any point)

I give consent to my child being filmed during sessions for assessment and evaluation *

Yes

No

I give consent to my child being photographed, filmed or recorded at CMA events and performances for an internal audience *

Yes

No

I give consent for my child being photographed, filmed or recorded at CMA events and performances which is shared with a digital audience *

Yes

No

I give permission for my child’s name to be published in printed programmes *

Yes

No

I give permission for my child’s name to be published in CMA publicity *

Yes

No