Headstart form | Reflex Theatre

Booking Form

Please fill out the following information to the best of your ability.

Once we have received your details, we will inform you if your place has been reserved.

If we're unable to reserve you a place, you'll be put on a waiting list.

We will let you know if any spaces become available and if you wish to reserve your place.

If you are not eligible for Free School Meals, you will be sent a secure payment link to confirm your place.

If you have any questions or require any assistance in filling out this form

please contact us either on 07402 374674 or info@reflextheatre.co.uk

For which date(s) would you like to book? Required

For Jumpstart, we would like take photographic images (moving and/or still) of participants to enhance, promote and illustrate our media applications (for example, our website), making them more accessible and inspiring for our audiences.

This may include our printed publications such as adverts; audiovisual and electronic materials; media work; display materials; and any other media we may use in the future.

The images will not be used for any other purpose other than those previously stated.

The copyright of any material which is generated as a result of any photographic session(s) shall be assigned and shall be the property of Reflex Theatre.