Make a Mark
7th Oct 6.30 - 9 pm - Please note you have to do one form per person. Children aged 12+ allowed to attend. Max 20 spaces.
Name
*
First Name
Last Name
Email
*
example@example.com
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Date of birth
*
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Address
*
Address line 1
Address Line 2
City
Borough
Postcode
Ethnicity
*
Arab
Asian/Asian British: Bangladeshi
Asian/Asian British: Chinese
Asian/Asian British: Indian
Asian/Asian British: Other
Asian/Asian British: Pakistani
Black/Black British British: African
Black/Black British British: Caribbean
Black/Black British British: Other
Mixed: Other
Mixed: White and Asian
Mixed: White and Black Caribbean
White British/Irish
Other Ethnic Group
White other
Prefer not to say
Gender
*
Female
Male
Non-binary
Transgender
Intersex
I prefer not to say
Can you confirm you can attend 7th October 6.30-9 pm
*
Yes
No
Do you have health conditions we should know about
Allergies
Do you give us consent to take photos and use quotes for this workshop?
For Social Media & marketing purpose
Your place is funded. Things are tight across the sector, so if you’re able to offer a contribution, it helps us cover costs and keep offering funded places.
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