Rock the Block - Consent Form
This form is to be competed by a parent or guardian.

Is your child or teenager taking part in Rock the Block at Elizabeth Fort, Cork on June 10th 2023? If so, please complete a separate consent form for each child. 

Please input your own email address below, not your child's email address.  

'Rock the Block' is presented by Rhyme Island, GMCBeats, The Kabin Studio & Music Generation Cork City in partnership with Cork City Council. For full details see: https://musicgenerationcorkcity.com/cruinniu2023/

The data you submit in this form will be processed by a third party (Google). If you would prefer to sign a hardcopy paper form instead, please contact us (or your music tutor) and we will send one to you. Our contact details are here: https://musicgenerationcorkcity.com/contact/ and our privacy policy is here: https://musicgenerationcorkcity.com/privacy-policy/ 

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Email *
Full Name of Parent/Guardian (First name and surname)
 *
Phone number of Parent/Guardian *
Full Name of Child Participant under 18 (First name and surname)
 *
Is your child a member of a Music Generation partner programme already? *
If you answered yes above, which programme are they involved in? 

See list of MGCC programmes here: https://musicgenerationcorkcity.com/programmes/ 
Photo, Video & Audio Consent

We often get photos, videos and audio taken of workshops in progress and live performances. We like to share the fun moments! 

Do you give permission for your child's name, photos & videos in which they feature to be used for archival or public engagement purposes which include official Government websites, reports, media and/or social media channels by Music Generation, Cork City Council, The Kabin Studio, GMCBeats, Rhyme Island, Cruinniú na nÓg, Creative Ireland and RTÉ. 

If you subsequently wish to withdraw consent this may be done by writing to musicgencorkcity@corketb.ie
 *
Please give your signature if you hereby consent to the collection and use of photos/video/audio as outlined above.*
Write in your full name below (must be of Parent or guardian)
 *
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