FILM SCHOOL OF NOTTING HILL Class Registration Form STUDENT INFORMATIONFirst NameLast NameDate of Birth *Age0 / 3School NamePARENT/GUARDIAN INFORMATIONFirst NameLast NameEmail AddressPhoneEmergency Contact Name & NumberSameDifferentNamePhoneCLASS SELECTIONWhat are you booking?Weekly ClassesHoliday Camps1–1Saturdays at The Gate (Workshop before the movie + free ticket to the movie)WeeklyHoliday1-1Saturdays at The GateSaturdays at The Gate - valueOption 1Please select the class(es) you will be attending:Choose Day *MondayThursdayMonday Class Details 5 Jan, 12 Jan, 19 Jan, 26 Jan 2 Feb, 9 Feb, (skip 16 Feb), 23 Feb 2 Mar, 9 Mar, 16 Mar, 23 Mar Thursdays Class Details 8 Jan, 15 Jan, 22 Jan, 29 Jan 5 Feb, 12 Feb, (skip 19 Feb), 26 Feb 5 Mar, 12 Mar, 19 Mar, 26 MarChoose Session Length *1 Hour (£25)2 Hour (£50)Number of Session *Holiday Camps (Halt Term / Easter / Summer Camps) *One Day (£85)Full Week (£400)No. of Days1-1 class : £105 *At the HallAt HomeChoose the Slot *9:30am - 11am £479:30am - 1:00pm £79Select your Tshirt ColorBlackWhiteSchool Tshirt £25Select your Hoodie ColorBlackWhiteSchool Hoodie £25PAYMENT INFORMATIONTotal Fee£MessageMEDICAL & SAFETY INFORMATIONDoes the student have any medical conditions, allergies, or special needs we should be aware of? *NoYesPlease specify *PHOTO & VIDEO CONSENTWe may take photos/videos during classes for promotional purposes (e.g., website, social media). Do you consent to being included? *Yes, I give permissionNo, I do not give permissionTERMS & CONDITIONSBy signing below, I confirm that: I understand that all fees must be paid before the start of the term. I will attend class regularly and notify the school in case of absence. The Film School of Notting Hill is not liable for any injury or loss of personal belongings during class. I read the T&C’s available on the websiteSignature * *Date Credit / Debit Card *Submit