Progression Sessions 2020 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 and Progression Sessions will use your information for administration, marketing and charitable purposes and with our funder's Hackney Council. Hackney Empire and Progression Sessions 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. Progression Sessions is for ages 14-19. You must be able to able to attend all sessions. If you have any questions regarding the sign up process, please contact projects@hackneyempire.co.uk

Please submit your entry by Sat 18 Jan 2020 to projects@hackneyempire.co.uk | This can be a video or any link to music, including production.

Progression Sessions will take place every Tuesday from Tues 28 Jan - Tues 31 March 2020 from 5-7pm. You must be able to attend all sessions.

The final performance will be on Thurs 7 April 2020

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* 2. Personal Details

First Name *

Surname *

Date of Birth *

House Number/Name

Street Name *

City/Town

Postal Code *

Country *

Email Address *

Phone Number *

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* 3. We collect ethnicity and gender information to monitor equality and diversity. This information is given to our funders Hackney Council. Please select your ethnicity from the drop down list below or select prefer not say.

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* 4. Gender- please select the box you identify as or select prefer not to say

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* 5. Education (where applicable)

Name of School/College

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* 6. Why would you like to take part in this activity? If you have any videos or tracks please add links here

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* 7.
Parent/ Carer/ Emergency Contact Details

Full Name

Relationship to applicant

Email Address

Phone Number

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

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* 9. PERSONAL/PARENT/GUARDIAN CONSENT: The Progression Sessions are for young people aged 14-20 y/o. Please confirm the participant registering is within this age range.
UNDER 18'S-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

Yes

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* 10. How did you find out about us?

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* 11. 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

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

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* 1. Progression Sessions is for ages 14-19. You must be able to able to attend all sessions. If you have any questions regarding the sign up process, please contact projects@hackneyempire.co.uk

Question Title

* 2. Personal Details

Question Title

* 3. We collect ethnicity and gender information to monitor equality and diversity. This information is given to our funders Hackney Council. Please select your ethnicity from the drop down list below or select prefer not say.

Question Title

* 4. Gender- please select the box you identify as or select prefer not to say

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* 5. Education (where applicable)

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* 6. Why would you like to take part in this activity? If you have any videos or tracks please add links here

Question Title

* 7. Parent/ Carer/ Emergency Contact Details

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

Question Title

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* 10. How did you find out about us?

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

* 7.
Parent/ Carer/ Emergency Contact Details