Art Space Scotland - Art Classes and Galleries in Perth

Class, Course or Programme Booking

Name of Class or Course
Date of Class or Course (DD/MM/YY)
Childs Name	Age

Name
Address
Daytime Tel no.
Evening Tel no.
Email Address

Emergeny Contact
Tel no.

Do you or your children have any Special needs / disabilities / allergies/ medical condition that we should be aware of:

Do you give consent for photographs or video, of you / your children, to be taken by an authorised artspace photographer or by relatives of other participants... Yes No

Do you give consent for photographs of you / your children to be used in the advertising of artspace... Yes No

Please post all cheques to Irene Watson, artspace, 96 Glengarry Road, Perth PH2 0AB
or call into the studio at the same address.

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