Artist Registration Form

Name*

Telephone*

Email*

Town*

Postcode*

NOTE: All contact details are kept confidential and will not be shared with any other persons or organisations. Nugent Education Ltd Data Controller Registration Number: Z9747407

Qualification and / or Training:

Photo: Please attach up to 2 photos of yourself and / or your workshops.

Image 1:

Image 2:

Do you have Public Liability Insurance? If yes, for what amount of cover?

Do you have a CRB Enhanced Disclosure? If yes, what is the Date of Issue?

Your Fees: What do you normally charge for delivering your workshops?

Hourly*:

Half Day*:

Full Day*:

Where can you work*?

All sections marked with * are compulsory.