Make It Up Registration Form

Thank you for choosing to register with us. Hackney Empire will process your data in accordance with the General Data Protection Regulation (GDPR). Hackney Empire will use your information for administration, marketing and charitable purposes with our funder's Hackney Council, and will not share your personal details with third parties without your consent. If you have any comments or concerns regarding the use of your data, please contact Hackney Empire.

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* 1. Personal Details

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* 4. Education (where applicable)

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* 5. Why would you like to take part in this activity?

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* 6.

Parent/ Carer/ Emergency Contact Details

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* 7. Do you have any medical conditions/disabilities/access requirements you would like us to know about?

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* 8. PARENT/GUARDIAN CONSENT: Make It Up is for young people aged 13-16 y/o, please confirm the participant registering is within this age range. To take part we will require consent from your parent/guardian. By ticking this box you agree that you have consent and are happy for us to email your emergency contact to confirm this consent. If you have any questions please email projects@hackneyempire.co.uk

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* 10. Would you like to hear about future Creative Learning Opportunities at Hackney Empire?

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