Global Mash Up Registration & Monitoring Form

Five days of fun workshops introducing global arts (a mix of music, dance and drama) for all children and young people aged between 8-18 years.

PLEASE COMPLETE ALL PARTS OF THE FORM BEFORE WEDNESDAY 23rd OCTOBER 2019 TO SECURE YOUR PLACE.

Any personal information you give to us will be processed in accordance with the UK Data Protection Act 2018.

Personal Details
Emergency Contact 1
Emergency Contact 2
Image and Media Release Declaration
If aged under the age of 18 please ask Parent/Carer to sign
Monitoring

The Geraldine Connor Foundation celebrates the diversity of society and strives to promote and reflect that diversity within the organisation. In order to do this, we give you the choice to answer the following questions:

How do you identify your gender?
What is your ethnic group? (Choose one option that best describes your ethnic group or background)