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?
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?
Is the gender you identify with the same as your sex registered at birth?
Which of the following best describes your sexual orientation?

Other
Your Address

Street Address

Street Address Line 2

CityCountry

Postcode
Your Email
example@example.com
Your Phone Number
Format: 00000 000000.
What activities are you interested in?

Other
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
Format: 00000 000000.
3. Health Questions
Do you have any medical conditions we need to know about?
If yes, please state below

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

Other
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:
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.

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.

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
4. Parental Consent

Please complete this section to give consent to your child/young person engaging in activities with Kainé.
I give consent for my child/young person to attend events and sessions by Kainé Management for the purpose of participating in workshops, activities, and related programmes. I understand that appropriate supervision will be provided during these sessions:
Signed

I give permission to attend sessions and events
Print Name

First NameLast Name
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?
Would you like to support Kainé in other ways?
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
What specialist skill or knowledge can you provide?

Other
Should be Empty:

Join us!

1. About You

2. Emergency Contact Details

3. Health Questions

4. Publicity Consent

4. Parental Consent

5. Marketing and Promotions

Kainé Support