Alexandra Palace Young Creatives Network Participant Statistics
Thank you for signing up to take part in an activity which is part of Alexandra Palace's Young Creatives Network programme. To complete your registration for this activity please complete the short form below.

If you are under the age of 18 then please ensure your parent or guardian completes this form on your behalf.

Alexandra Palace processes personal data collected in relation to any aspects of Equality,
Diversity & Inclusion monitoring in accordance with the General Data Protection Regulation
(GDPR). Data collected will be held securely and accessed by, and disclosed to individuals only
for the purpose of Equality, Diversity and Inclusion monitoring.

Filling in this form will signify your consent to our processing of this information.
Once you have given consent, you may withdraw it at any time by contacting Jen Blackwood (Creative Learning Producer) at jen.blackwood@alexandrapalace.com 
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电子邮件地址 *
Name of Activity
Your Full Name *
Date of Birth *
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Postcode *
Is English your First Language?
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Ethnicity? (Please select)
If you have selected other, please specify
SEN/Disability (please tick)
Would you like to join Ally Pally's young creatives network so you can be updated about future opportunities? *
Any additonal information?
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