Piano Orchestra South Wales

Sign-up form

First Name (Student)

Last name (Student)

Date of birth:

Month

Day

Year

Parent Name

Parent Phone Number

Second Emergency Contact Name:

Second Emergency Contact Number

Does the student have any medical conditions? (eg. allergies/dyslexia)

Yes

No

If you answered YES to the above, please provide details including any administration instructions.

Our media policy protects children's identity and privacy. Please choose one option: Photography and/or filming

Yes, my child may be photographed or videoed for event archives/internal use only

Yes, my child may appear in public-facing images/videos

No, I do not consent to any images/videos.

Data Protection & Privacy

Piano Orchestra C.I.C (trading as Piano Orchestra South Wales) is the Data controller for the purposes of UK GDPR. Data is processed for administration, safeguarding, emergency contact, and communication purposes.

We process data under contractual necessity (membership administration), safeguarding legal obligations, and consten (photography and media use).

All information is stored securely under UK GDPR. Only designated safeguarding leaders, chaperones and first aiders will have access. Parents may request to review or amend information at any time.

Confirmation: By signing below, I confirm that information is accurate and I consent to its use in accordance with the privacy statement.

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Date

Month

Day

Year

I consent to authorised staff or first aiders administering first aid and, if necessary, arranging emergency medical treatment.

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Piano Orchestra is charged termly in advance. There are no refunds for missed sessions.

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.