Contact
Hi everyone. Mark and Soriya here. This is the booking form for the Safety In Music 'Young People's Change Makers'. The venue is The Bassment, St Thomas' Rd, Huddersfield HD1 3LG. It will take place weekly from Mon 7th Feb 2002 until Monday 21st March. 4.30 - 6.30PM. Please attend all sessions. Fill out the form and if you have any questions, please contact us at info.safetyinmusic@gmail.com. Cannot wait to see you all!
PARENT / CARER / PROFESSIONAL DETAILS:
CHILD/YOUNG PERSON DETAILS:
EMERGENCY CONTACTS:
THE INFORMATION THAT YOU HAVE PROVIDED ON THIS FORM WILL ONLY BE USED FOR EVALUATION PURPOSES (E.G. GENDER, SCHOOL, DATE OF BIRTH)
I give consent for my child’s personal information to be stored securely and for it to be shared as stated above (Data protection privacy policy)
I give consent for the event facilitator(s) to contact the emergency services if an emergency occurs during a session
We will be taking photos and creating short videos of the children/young people participating in this course. These may be used in an evaluation report, project funders, social media posts and shared with the press. I give consent for my child (children) to be photographed and/or videoed and for the photos and footage to be used as above
We will be making a recorded music track and video which will be shared on social media and with funders. Would you like your child's face blurred out/not to be included or are you fine with them being on this video?
I consent as a parent, carer or guardian for my child to access Zoom or Microsoft Teams for the workshops.
Please attend all sessions to get the most benefit out of the course.
Thank you for filling out this form. We all look forward to seeing you all!
Soriya and Mark :)
