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Thursday Kathak at Newcastle upon Tyne

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Full Name *

Date of Birth *

Gender *

Email *

Telephone *

Mobile

Your ethnic origin *

Address *

Please tick as appropriate

I agree to participate in classes led by Sonia Sabri Company.
If emergency contacts are not obtainable, I authorise, in the case of an accident requiring emergency treatment, the leader(s) of the event to sign any written form of consent required by medical authorities.
I give permission for these records to be kept on file as part of a database for use in relation to this activity.
I give permission for the use of photographs / film taken during this activity in reports and promotional material.
I consent to being added to the mailing list for Sonia Sabri Company to recieve newsletters and other information about activities organised by Sonia Sabri Company. (Please note: You will be given the option to unsubscribe from this mailing list if you wish to do so.)

Any special requirement

Any medical condition

Contact Name (in case of emergency)

Relation to the student

Contact phone no.

students guidelines *

I have read and downloaded students guidelines

Data Sharing Agreement

Do you agree to Sonia Sabri Company sharing your data with other arts organisations?

Do you agree for your data to be shared in order to assist other arts organisations with
Marketing / Research / Audience Development?
If you clicked yes, please click one or more of the following

Marketing
Research
Audience Development

* Data Protection Information:
The information you provide will be used by Sonia Sabri Company only as you direct as above.
In accordance with data protection regulations your details will be treated with respect, stored responsibly and will never be passed on to other organisations without your consent.

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