Wa Wa Women Singing Circle Member Registration

SINGERS DETAILS (required)

First Name

Last Name

ADDRESS (required)
Address line 1

Address line 2 (optional)

City/Town

Postcode

Email Address

Group Selection (required)
I would like to reserve a place in the following weekly singing circle

Wednesday Morning UppinghamWednesday Evening Uppingham

Medical Information
If you have any known medical requirements/conditions or learning difficulties please provide full details here. (leave blank if not applicable)

Dietry Information
If you have any known allergies or other dietary requirements please provide full details here. (leave blank if not applicable)

Emergency Contact Details (required)
Please let us know who should be contacted in the case of an emergency

First Name

Last Name

Relationship to Student

Emergency Number

Terms and Conditions

FEES

By completing and returning this form I understand that I am signing up to join weekly singing circle sessions. I agree to pay fees for every session I attend either as a block booking or a drop in fee. Block bookings should be paid for at the start of each new term or within 7 days of a free trial.

MEDIA CONSENT
Every now and again we like to photograph classes to show progress and share success. Personal information will NOT be linked to our images or videos. These may also be used in future marketing. Please email sarah@wawawomen.co.uk if you do not wish to be in any photos or videos

DATA PROTECTION ACT 1998
Your information will be kept securely on our database and used for future correspondence only. Details will NOT be passed on to third parties.

Please check the box below to agree to our terms and conditions above

I agree