Name *

First Name

Last Name

Phone *

(###)

###

####

Which services are you interested in? *

Duet Games and Mentoring (One2One)

Group Sessions

School Sessions

Would this be Online or In person? *

Online

In Person

Age Group

We believe mixed age groups can provide good examples and improve group dynamics. All our players are held to the same standard of behaviour. Whilst we try to put similar ages together, a wider demographic may mean more group availability.

10+

10-17

18+

Data Protection *

The information that you provide on this form and that is obtained from other relevant sources will be used to process your/your child’s referral and support you/your child effectively if you/they become a client. The personal information that you provide will be processed and stored lawfully and in accordance with our Data Protection Policy and the GDPR and Data Protection Act 2018. We may also use or pass to certain third parties information to prevent or detect crime, to protect public funds or in other ways as permitted by law. If you/your child decide not to become a client, this form and any other personal data gathered may be held for up to 12 months. In the event that you wish to withdraw your consent to us processing your/your child’s personal data at any point, please contact tom@taleforge.co.uk.

I consent to the secure processing and storage of my/my child’s personal data

I understand that I can withdraw my consent at any time, without giving a reason, by contacting tom@taleforge.co.uk