RM Quick Sign Up Form

1

Full Name* This field is required.

First Name

Middle Name

Last Name

2

Date of Birth* This field is required.

Date of Birth

3

Email* This field is required.

example@example.com

4

Phone Number* This field is required.

E.g. 07555 555 555

5

Please select your preferred method of communication.* This field is required.How do you wish to be contacted?

Phone call / text

Email

7

What ethnicity do you identify as* This field is required.

Asian/Asian British

Black/African/Caribbean/Black British

White

White and British African

White and British Caribbean

Prefer not to say

8

Address* This field is required.

Street Address

Street Address Line 2

City

Post Code

Country

9

Emergency Contact Name* This field is required.

First Name

Last Name

10

Emergency Contact Email* This field is required.

example@example.com

11

Emergency Contact Number

12

Care Coordinator NameIf applicable.

First Name

Last Name

13

Care Coordinator EmailIf applicable

example@example.com

14

Care Coordinator NumberIf applicable

15

Are you a returning participant / user?Have you previously attended a course / project / session at Raw Material?

YesNo

16

Please select the course / project that you are signing up for.* This field is required.Due to COVID-19 all projects are running with smaller groups. You can only sign up for one project at a time.

17

This next section we will ask what sessions are you most interested in.

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Please select your FIRST PRIORITY interests.* This field is required.You may select up to 2 choices for your FIRST interest.

Vocals sessions

Soundtrap Production, DJ’ing, Songwriting

Acoustic & Lyric Songwriting (Over 30)

Songwriting & Production (Under 30)

Advanced Logic Pro X w/ Louise - Wed, 11:30am - 1:30pm

Advanced Logic Pro X w/ David - Thurs, 11:00am- 1:00pm

1-to-1: Guitar

1-to-1: Drums & Keyboard

1-to-1: Vocal & Songwriting

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Please select your SECOND PRIORITY interests.* This field is required.You may select up to 4 choices for your SECOND interest.

Vocals sessions

Soundtrap Production, DJ’ing, Songwriting

Acoustic & Lyric Songwriting (Over 30)

Songwriting & Production (Under 30)

Advanced Logic Pro X w/ Louise - Wed, 11:30am - 1:30pm

Advanced Logic Pro X w/ David - Thurs, 11:00am- 1:00pm

1-to-1: Guitar

1-to-1: Drums & Keyboard

1-to-1: Vocal & Songwriting

20

Please tell us why you are interested in the chosen course / project.This section is not mandatory but will help us get to know you a little more.

21

How did you hear about Raw Sounds?

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Raw Material recognises that certain groups experience discrimination and disadvantage on basis of their ethnic group, gender, disability, sexuality, or age. In providing media arts training, we want to ensure equality of opportunity at all levels. Thank you for your cooperation.

Your data will not be shared with any 3rd-party organisations. You can opt-out at any time.

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Please verify that you are human* This field is required.