* 1. Participant's Full Name

* 2. Participant's Age

* 3. If the participant is under 13 years old please give the name of the adult who will be supervising them.

* 4. Participant's School (if relevant)

* 5. Parent Email (or participant email if participant is over 18)

* 6. Emergency contact name

* 7. Emergency contact phone number

* 8. Does the learner have any medical conditions or take any medication that we should be aware of?

* 9. I give permission for photographs/video of the participant to be taken at this event which may be used in future external publicity and on Berkshire Maestros website and social media.

* 10. How did you find out about this course?

* 11. I agree to you using my e-mail address to contact me:

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