Membership Registration Form

Join us!

Complete our membership form below to sign up to one of our choirs, events or workshops.
If you have any concerns about any element of this form, please reach out to info@kainemanagement.org.uk.
1. About You

Please fill out all fields.
Are you joining a choir or a workshop?

ChoirWorkshop/Project
Which choir will you be joining?*
What workshop/project will you be joining?*
If other, please state which workshop/choir you are attending*
What is your name?*

First NameLast Name
What is your date of birth?*

DayMonthYear
Date
Today's date

DayMonthYear
Date
AGE
What is your ethnic group?*
If you selected 'Other ethnic group', please state your ethnic group below:*
What is your country of birth?*
What is your sex?*

MaleFemalePrefer not to say
Is the gender you identify with the same as your sex registered at birth?*

YesNoPrefer not to say
Which of the following best describes your sexual orientation?*

Heterosexual/StraightBisexualGay or LesbianPrefer not to sayOther
Your Address*

Street Address

Street Address Line 2

CityCountry

Postcode
Your Email
example@example.com
Your Phone Number*
What activities are you interested in?*

Arts and CraftsDancingStorytellingOutdoor GamesCooking ClassesMusic SessionsScience ExperimentsGardeningSingingOther
2. Emergency Contact Details

Please provide us with details of someone we can contact in case of an emergency
Name*

First NameLast Name
Relationship to you*
If other, please state the relationship*
Emergency Contact's Email
example@example.com
Emergency Contact's Phone Number*
3. Health Questions
Do you have any medical conditions we need to know about?

YesNo
If yes, please state below*

Please list, separated by a comma or a new line0/255
Do you have any allergies?*

YesNo
Please select any relevant allergens*

MilkEggsFishShellfishTree nutsPeanutsWheatSoyOther
4. Publicity Consent

Please complete this form to give consent for us to take images, moving footage, audio, comments and other personal data to then be stored and used.This form covers consent for use of the above for internal and external communication and storage of the data within this form. All data (images, film, comments, personal information on this form), will be stored by Kainé Management. The data may be shared with 3rd party organisations in order to fulfill the communication work necessary, e.g. providing images to design/ print agencies.
I give consent to Kainé Management to publish, republish, or otherwise transmit still and moving images, audio and my name for the purposes of:*

Publicity and promotional materials, including advertising materialand printed publicationsPresentation and exhibition materialsWebsites, social media channels and digital communications materials, including advertising material and printed publicationsNews media and their associated websites, social media channels, print publications, television and radioAll of the above
I am the person identified in Section 1 and in the photograph(s), filming and/ recording. I understand the above request and give informed consent.*

Clear
I give permission to be photographed and videoed for publicity purposes
I am the parent/guardian of the person identified in Section 1 and in the photograph(s), filming and/ recording. I understand the above request and give informed consent for this person’s image/ data to be used.*

Clear
I give permission to be photographed and videoed for publicity purposes
Print Name*

First NameLast Name
Parent/Guardian email address (If not provided above)
example@example.com
5. Marketing and Promotions

If you would like to keep in touch with us, please let us know.
Would you like to receive all the latest news, updates and promotions from Kainé, direct to your inbox?

Yes, pleaseNo, thanks
Would you like to support Kainé in other ways?

Yes! Tell me moreNot at this time
Kainé Support

We like to call upon our wider community to support us in various ways.
Please select the ways you are willing to/currently are supporting Kainé*

Volunteer your specialist skill or knowledgeFundraisingSupport a charitable eventDonateBecome a Trustee
What specialist skill or knowledge can you provide?*

MarketingFinanceSalesHRIT/TechPersonal DevelopmentPerforming ArtsOperationsFundraisingOther
Should be Empty:

Join us!

1. About You

2. Emergency Contact Details

3. Health Questions

4. Publicity Consent

5. Marketing and Promotions

Kainé Support