* PERSONAL DETAILS

We need to collect your personal and contact information to register you for the 'Unleash the Genius' music  project and send you information about the workshops. We will not share this information with any other organization or individual, other than staff or volunteers employed by Ingenium.  NOTE: If you indicate you are under 18 years old, we will require permission from a parent or guardian over the age of 18 before the workshops begin. A consent form will be sent to the Parent or Guardian contact information you enter later in this application form.

* What is your gender?

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