DRAMA FOR ELDERS via ZOOM
REGISTRATION & IT FORM:
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Full Name *
Date of Birth (we need this information to know if you eligible to take part): *
Email address
Mobile Telephone Number:
Landline Number:
Address: *
Post Code: *
Are you a Church Street Ward resident? *
How would you like to be contacted? *
Required
MEDICAL DETAILS: do you have any health conditions, access needs or additional needs that we should be aware of in order to support you taking part / attending? If yes, please provide details below:
SPECIAL PERMISSIONS - please tick the following box if you agree:                                                                                               I give permissions for photography and filming to take place and understand that these will be used by Dende Collective and Westminster Libraries & Culture for promotional and archival purposes.
TECHNICAL SETUP: What devise do you have? *
Required
TECHNICAL SETUP: Does your devise have a camera and microphone? *
TECHNICAL SETUP: Do you have internet? *
TECHNICAL SETUP: Do you have wi-fi? *
TECHNICAL SETUP: Do you have the app ZOOM in your devise? *
TECHNICAL SETUP:  Have you used ZOOM before? *
TECHNICAL SETUP: If you don’t have ZOOM, can you download and install it in your device? *
TECHNICAL SETUP: Would you need technical support so you can take part? *
TECHNICAL SETUP: if you need technical support, what would it be?
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