Project M

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Project M

Please fill in this form to register on Project M. All information from this form will be kept confidential.
Sessions will take place in a town centre location on Thursdays 6.30pm-8.30pm.
You do not need to be able to play any musical instruments to take part in the sessions, all young people aged 12-19 are welcome to attend.

Please note that contact number will be verified following submission of this form.

Young Person full name

Their preferred first name and pronoun

Your address

Date of birth

YYYY

Age

Young person's email address

Parent/guardian name and contact phone number

Parent/guardian email address

Emergency contact 1 name and phone number

Emergency contact 2 name and phone number

Please let us know below of any medical, health or support needs you may have

Name of school or college you attend

Do you have any dietary requirements, food intolerances or allergies? If yes, please let us know, below

If you are aged under 18, please ask a parent/guardian to fill in this part of the form

I give permission for my young person to attend the Project M sessions on Thursdays, 6.30pm-8.30pm

I give permission for my young person to be filmed and photographed and for sound recordings to be made during Project M sessions and for any media to be shared publicly/on The Core's social media/The Core website. I understand that photographs taken by The Core may be used on The Core's website, social media or in the brochure

I am aged over 18 and I give my permission for The Core to film, take photographs and for sound recordings to be made during Project M sessions I attend and for any media to be shared publicly/on The Core's social media/The Core website. I understand that photographs taken by The Core may be used on The Core's website, social media or in the brochure

I understand that Project M is a drop in session. I accept that The Core at Corby Cube cannot be responsible for my child before, during or after the session.

Project M is a drug and alcohol free zone. I accept that my child will not be admitted or may be asked to leave if they are intoxicated.

I give permission for my young person to make their own way home at the end of a Project M session

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