Music centre Musical Activity Day 3rd September 2021 Student name School Year Group Date of birth Gender Carer name Address Post Code Phone number E-mail address Emergency contact information Any relevant medical information Declaration Declaration On behalf of the student named above, I apply to MK Music Service for a place on the FREE Musical Activity Day on 3rd September 2021 9am to 3.15pm. Photographic Consent - Photography, Film and Audio: Milton Keynes Music Service is part of MK Council and occasionally uses photography for publicity purposes. We would like your permission to photograph/film/record audio of your child for possible inclusion in promotional material, website and other publicity material including social media. We will ensure as far as possible that the images/video/audio are not used inappropriately but by submitting this permission form you accept that should this happen, the council does not accept responsibility. Your contact details will remain strictly confidential. Photographic Consent - Photography, Film and Audio: Milton Keynes Music Service is part of MK Council and occasionally uses photography for publicity purposes. We would like your permission to photograph/film/record audio of your child for possible inclusion in promotional material, website and other publicity material including social media. We will ensure as far as possible that the images/video/audio are not used inappropriately but by submitting this permission form you accept that should this happen, the council does not accept responsibility. Your contact details will remain strictly confidential. I give photographic consent I do not give photographic consent Submit Milton Keynes Council Please read our Corporate Privacy Notice.