New Wave Wired Registration Form

New Wave 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 and with our funder's Hackney Council and Peabody. Hackney Empire 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

Full Name

Age

Email Address

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* 2. Are you a Peabody Resident? If you are a Peabody resident you will probably have seen Peabody logo on/around your building

Yes

I do not know

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* 3. Signature

Signature- please type name

Date filled out this form

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* 4. New Wave Wired are free online workshops focusing on content creation and spoken word for young people. Please sign up to the workshops you would like to attend. You will be emailed details

Sound engineering with Shannon Punter- Wednesday 10th June 5pm

Poetry & Spoken Word series with Sophia Thakur- Tuesday's at 5pm from 26th May-16th June

Poetry & Spoken Word IGLive hosted by Sophia Thakur at 16th June 6pm (after final workshop)

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* 5. Do you have any access requirements you would like us to know about?

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* 6. PERSONAL/PARENT/GUARDIAN CONSENT: New Wave Wired is for young people aged 14-25 y/o. The workshops will be recorded so that they can be made accessible. Please give your consent below.
UNDER 18'S-To take part we will require consent from your parent/guardian. By ticking this box you agree that you have consent. If you have any questions please email projects@hackneyempire.co.uk

Yes- I am 18 or over

Yes- I am under 18 and have parent/guardian consent

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* 7. How did you find out about us?

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

Yes- I am happy to be contacted by Hackney Empire about further opportunities by email