Takeover the Future Festival Project

Takeover the Future Festival Project

29th April - 23rd June 2024
Name*

First NameLast Name
Birth Date

MonthDayYear
Email address
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Gender*
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Ethnicity *
Name of School, College or Uni (if applicable)
Address*

Street Address

Street Address Line 2

City

Postcode
Parent/Carer Name*
Parent/Carer Phone Number*
Parent/CarerEmail*
example@example.com
Emergency Contact 1 - this person will only be contacted if we cannot get hold of the parent/carer in an emergency. This can be a family member or friend. *

Name

Phone Number

Relationship to child
Do you have any mobility or medical needs? If yes, please give details. *
Do you require any additional learning support? Please let us know so we can best support you during this project.*
Are you happy to be photographed for future promotion on Grand Junction's website and social media?*

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How did you hear about this project? *
Please sign here to confirm you can attend all of the project dates:

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Parent/Carer Signature*

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