Professional Documents
Culture Documents
To book your place, just complete the form opposite and return it with your payment of 50 per child to the address below. Alternatively you can drop us an email and well send you details of how you can pay online securely with PayPal. For the course to run we require a minimum of 10 children and there is a maximum limit of 15, so hurry, places are limited. We will confirm your booking via email.
The Man In The Moon Passfield Business Centre Lynchborough Road Liphook GU30 7SB Telephone 01428 751656 Web www.themaninthemoon.co.uk
Photography/Recording I understand that parents may also be allowed to take photographs and record the performance for their own private and personal use. I understand that if I take photographs or record this performance, it is for my sole personal use and must not be used for any other purpose including uploading to the Internet. Plasters Sometimes children have a bump or scrape that needs a plaster. We are not allowed to give these without your permission.
Postcode Parent or Carers Name Home Telephone Number ( Mobile Telephone Number ( Email Address Care Information (Please give us details of any allergies, special requirements or any other information that you think will make your childs time with us as enjoyable as possible) ) )
I give my permission for my child to have plasters I do not give my permission for my child to have plasters
Medical In the event of illness or accident you will be contacted immediately. If this is not possible, an ambulance will be called and your child will be sent to hospital with a Crew Member. Behaviour High spirits are welcomed, but if a child is continually disruptive, we reserve the right to suspend or exclude them. No refund will be given. Medication I will notify The Man In The Moon of any specific medication that may need to be administered to my child, and understand that I will need to complete an additional consent form.
Cancellation In the unfortunate event of you having to cancel you will be given a full credit note towards a future workshop. If cancellation is less than 7 days, no refund will be given. Insurance We hold full cover for public liability. However, we do not accept responsibility for any personal property that becomes lost or damaged.
Parent or Carer Signature Date The Man In The Moon Passfield Business Centre Lynchborough Road Liphook GU30 7SB Telephone 01428 751656 Web www.themaninthemoon.co.uk