On Track Weekender Sign Up 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 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. On Track Weekender is free for young people aged 14-25, we require your registration form to process your place. If you have any questions regarding the sign up process, please contact projects@hackneyempire.co.uk

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* 2. Education (where applicable)

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* 3.

If you would like to participate in more than one event, please select multiple boxes.

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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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* 9. Would you like to hear first about HE Creative Futures Opportunities?

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