Student Name

D.O.B

School

Home Address

Mobile Number

Email Address

I would like to access the Zoom Class Room I would like to access the Zoom Class Room Unlimited Access to all classes

Parent or Guardian Name

Does your child have special educational needs or disability or any other medical conditions we should be aware of? Does your child have special educational needs or disability or any other medical conditions we should be aware of? Yes No

Please specify how can we be more helpful if your answer was yes

I agree to the photographs I share being shared on public media: I agree to the photographs I share being shared on public media: Yes No

I agree to my child's artwork being displayed by Young Masters: I agree to my child's artwork being displayed by Young Masters: Yes No

I have read the school policies I have read the school policies Yes