Mother-Daughter Rainbow Circles Booking Form

Please copy, paste and complete the form and return to kate@orangebloom.co.uk

Places for Rainbow Circles and workshops will be allocated on a first come, first served basis. Your place(s) will be confirmed by email once we receive your completed form and payment.  

 

Name:                                                                     Surname:

Address: 

Postcode: 

Mobile:                                                                      Email: 

 

Circle / Workshop you wish to attend: 

Date:                                                                         Time:

 

Names of attendees

Name

Surname

Age

Cost

     

£

     

£

     

£

     

£

Total

£

Please note, should any of the attendees be under 18 years of age, a parent / legal guardian need to give their permission.

Photography

We would like to take photos/film of you/your child as a record of the day and for promotional purposes. Please indicate whether you consent to this:* Yes / No

 

Newsletter + Future Events

I would like to subscribe for future events:**                       Yes / No

I would like to subscribe for monthly newsletter                    Yes/ No

 

Name of parent / legal guardian:

Signature:                                                                        Date:

 

*These images may appear on our website and email newsletters, in our printed materials produced for promotional purposes including leaflets, posters and adverts, in materials sent out to the media. We will not include personal e-mail or postal addresses, or telephone or fax numbers on our website or in printed publications. To comply with the Data Protection Act 1998, we need your permission before we take any photographs/film of you/your child.

**We will never share your details with a third party without your express permission or if required by law.