Songwriters Camp Consent Form

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Anything written on this form will be held in confidence*. Our tutors need to know these details in order to meet the specific needs of participants.

* The activities held at the ELAM College is a collaboration between Sirlute, and True Cadence - by completing this form to register, you're agreeing to Sirlute sharing your information with True Cadence.

Full Name *

Preferred Name *

D.O.B *

YYYY

Gender

Male

Female

Prefer not to say

Non-Binary

Other:

Clear selection

Dietary requirements & allergies *

We would also like to document our workshops. We ask for your permission to film and photograph your child in our sessions. *

Yes

Yes but BLUR face

Required

Full Address

Contact number *

Emergency Contact (if different from above)

Do you have any educational. access or medical needs that we should be aware of? *

Are you a looked after child? *

Submit

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