CODA Graffiti Experience Day
The event costs £5 to register and there are limited places. Once you have completed the form you will receive an email with details to make payment. Please not that the place is not guaranteed until payment is made. 

The workshop is open to all CODAs both hearing and deaf, and will take place on Saturday 4th March 2024. 

We will all meet at the reception area in the Zellig building: Gibb St, Deritend, Birmingham B9 4AA. 

We will meet at 10 am-10:30 am and there will be a short introduction to everyone and then we will walk over to the graffiti space together. We will then have a brief talk about graffiti's history and how it is becoming a more modern art form. Then we will have lunch together and the afternoon will be two sessions: a graffiti paint pens session where children will create their own graffiti designs on canvas and a spray painting session. This will be partly outside so please bring appropriate clothing. Overalls will be provided. 

If you have any questions please contact: Matt@codaukireland.co.uk 

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Email *
Childs Name  *
Parent/Guardian Name
 *
Emergency Contact Number
Does your child have any medical conditions, allergies or emotional, behavioural or psychological concerns?
Is your child currently taking any medication that they would need to take during the trip? Do they have any inhalers, epic pens or other equipment?
I give CODA UK & Ireland volunteers permission to administer prescribed medication. In the case of not being able to contact me in an emergency, I give permission to act on my behalf if emergency medical treatment is necessary.
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Does your child suffer from any allergies?
Is there anything else you would like to let us know?
CODA UK & Ireland would like to take pictures and videos of children enjoying the activities. We will only use these when it is safe and appropriate. They will be used for the purposes of evidence for the funders, marketing and promotional materials. CODA UK & Ireland have a Photography/Video Policy which can be shared upon request.

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I agree the above information is correct and can be kept on record for CODA UK & Ireland to use appropriately and safely. I will inform CODA UK & Ireland of any changes. I agree for my child to participate in the trip and activities. I accept there is a risk of injury at the graffiti event and will not hold CODA UK & Ireland responsible or liable for any harm or loss that should occur during the course of the trip.
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