Name *

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Child's name *

First Name

Last Name

Photos

There are occasions when we may take photographs during a session for our own internal use or to place on the website. Please could you indicate, by ticking the box, if you would prefer your child not to be photographed.

I do not wish my child to be photographed.

Stay in Touch

Periodically, we would like to send you details of upcoming events via email. Please indicate, by ticking the box, if you would rather not receive these notifications.

I do not wish to receive email invitation to upcoming events.

I have read and agree to the group policy *

Yes

By filling in this form, you give consent for us to hold and process your personal data. You can update or remove your details at any time.