Creative Futures sign up

Participant details

Full name

Date of birth

What gender do you identify as?

Instagram handle (if applicable)

Twitter handle (if applicable)

Home address

Postcode

Contact
details

Your email address

Your telephone number

Emergency contact name (must not be same as above)

Emergency contact number

Alternative emergency contact name (must not be same as above)

Alternative emergency contact number

Participant's interests and experience

Do you have any specific areas of interest that you'd like to explore through Creative futures, e.g. audio engineering, crewing, songwriting for library music.

Please tell us a bit about any prior experience and knowledge you have in your chosen field. Please list any relevant information below to help us assess your current level.

Please tell us about any current/previous courses/studies you've done.

Tell us a bit about yourself and your interests and/or experiences and why you'd like to take part in Creative Futures.

Inclusion and Diversity

Which statement best describes your current situation

Do you have any special needs, medical conditions, allergies or access requirements?

If YES, please give details below:

Are you a part of any underrepresented communities or groups, such as LGBTQ+ or differently-abled individuals?

How would you describe your ethnicity?

Do you identify with any specific cultural or ethnic groups?

Confirmation

At times during projects/courses we may take photos and/or video footage in which you could appear. We may feature these in Lewisham Music online publicity, including our website and social media pages, and general print publicity, including programmes and leaflets, and local, national or international press in support of Lewisham Music stories. Do you give consent for photos or videos of you to be taken and used in the ways described above, now and in the future?

How did you find out about Creative Futures?

Would you like to be added to Lewisham Music's main general mailing list and receive regular updates from us and our partner organisations, including events, projects, opportunities, news and much more?

Please note that by submitting this form you are agreeing to be added to the Creative Futures mailing list so we can keep you updated about all upcoming courses. Your personal information will be stored and processed by Lewisham Music in accordance with our Privacy Policy. Lewisham Music will use the information you provide on this form to stay in touch with you and to provide updates relevant to your activities.

Participant details

Contact details

Participant's interests and experience

Inclusion and Diversity

Confirmation

Contact
details