PULSE Percussion Programme - Registration of interest

PULSE Percussion Programme (Gaillimh Percussion Bank)

Thank you for your interest in the above programme. We are very pleased to hear from you! By completing this form, you are providing us with your details for our PULSE Percussion Programme.Those who are interested in participating but who are under 18 years of age should ask a parent/guardian to complete this form and provide contact details for the parent/guardian only. If you are filling this form for a third party, please ensure you have their permission to share their details with us. A copy of this form will be automatically copied to you when you click ‘submit’ at the end. For general enquiries please email musicgenerationgalway@gretb.ie The Gaillimh Instrument Bank & PULSE percussion Programme will be overseen by the Music Generation and Community Education staff attached to Galway and Roscommon Education and Training Board. Please note: given the significant level of interest we have received for this programme it will not be possible to cater for every area/every group/every individual at the start but we will endeavour to meet the demand as quickly and as comprehensively as possible. Thanks in advance for your patience.
Where are you/the proposed participant(s) based?

Galway CityGalway CountyRoscommonOther (please explain below)
Location you are interested in:
Your Name:*

First NameLast Name
Your email address:*
example@example.com
Your Phone Number*
Name of your group/organisation (if applicable): *
Address:*

Street Address

Street Address Line 2

City/TownCounty

EIRCODE
Where did you hear about Music Generation’s new PULSE Percussion Programme?*

FacebookTwitterInstagramPrint MediaRadioWord of MouthOther (please explain below)
Are you interested in this drum programme for yourself or for others?*

Myself (adult)My child/childrenA community groupOther (please give details)
If you are enquiring for others, please give any additional details below that may be helpful (i.e. type of group and for example if the participants have any additional/special/complex needs etc)
How many participants are you enquiring about? (Please give an approximate number for now if you are enquiring for a group but are unsure of the exact numbers at present.) *
Please give the age range of the participant(s)**

0 to 45 to 78 to 1213 to 1819 to 2526 to 4040+
*(This is so that we can endeavour to place participants in appropriate groups.)
Have you/the participants taken part in a drum programme before?*

NoYes (if yes, please state when, where and with whom in the space below)
Where drumming is concerned would you say you/the participants have?*

No experienceSome basic experienceA lot of experience
If given the choice, would you/the participant(s) wish to attend:*

WeeklyFortnightlyMonthlyOther (please give details below)
If given the choice, when would you/the participant(s) wish to attend? ( Please note that each programme will be delivered according to the availability of the necessary drums, Musician Educators, venues and other factors.)*

Weekdays (during school hours)Weekdays (evenings/after school times)EveningsSaturdaysSundaysOther (please give details below)
What would you/the participant(s) hope to achieve from this programme?*
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DATA PROTECTION

Please note:This personal information will be processed and retained in accordance with the GRETB Data Protection Policy and Retention Schedule available on request by email to data.protection:@gretb.ie
Are you happy to share your information amongst members of our staff and are you happy for us to contact you by using the contact details that you have outlined above in connection with this programme? (In order to plan and implement our programmes, our educators and administrators need to have access to certain information.)*

YesNo
Media Consent
I agree to my/my child’s image (still and moving footage) being taken to document the programme. These still and moving images may be taken during rehearsal/ performances and/or audio recording/filming. These images/recordings may be used by Music Generation (Galway City, Galway County, Roscommon and National Development Office) and trusted partner organisations (including Galway and Roscommon Education and Training Board, Galway Culture Company, Galway County Council, Galway City Council and Roscommon County Council) who are all funders of the Music Generation programme. This imagery may be used for press and promotional purposes, including production of a short documentary film (should this arise), digital and social media marketing. Images/videos taken locally may be used for Music Generation national publicity and promotional activities for a period of up to 5 years. After 5years images/video will be retained for archival/research purposes only.*

I give consentI do not give consent
(Please sign (initial or name) in the box above and then press ‘submit’. In doing so you are agreeing to and accepting the terms and details as set out above.)

NOTE: For those who are applying for participants under 18 years; by pressing ‘submit’ you assert that you are the legal parent or guardian to the above named student. For those who are applying for a third party you assert that you have their permission to pass their information to us.

Please see additional informatioon below (beneath the signature).
Signature

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Please see some additional information below for your perusal.

Child Protection/Garda Vetting

Music Generation Galway County, Galway City & Roscomon confirm that the Musician Educator has been Garda Vetted and has received Child Protection Awareness Training in accordance with the Galway and Roscommon ETB Child Protection Policy and Procedures and Child Safeguarding Statement.

Music Generation Galway County, Galway City & Roscomon confirms its commitment to the provision of a safe environment for children and young people participating in all of its activities and will adhere to the requirements of the Children First Act 2015, the Children First: National Guidance for the Protection and Welfare of Children 2017 and Túsla’s Child Safeguarding: A Guide for Policy, Procedure and Practice.

Compliance with GDPR

Music Generation County County, Galway City & Roscomon complies with applicable data protection regulations and is committed to GDPR compliance across its relevant services in accordance with General Data Protection Regulations (GDPR) that came into effect on 25th May 2018. As such, any personal data collected by Music Generation Galway County will be used for no purpose other than that for which it is intended, it will not be shared with any other third party and it will be retained and destroyed as per the Records Retention Policy. This personal information will be processed and retained in accordance with the GRETB Data Protection Policy and Retention Schedule available on request by email to data.protection:@gretb.ie

Musical Oversight

The PULSE percussion programme will be overseen by Music Generation’s Music Development Officers:

Music Generation Roscommon: Ellen Glennon

Music Generation Galway County: Eric Cunningham

Music Generation Galway City: Jen Hesnan

Any issues arising with the programmes in their applicable areas should be addressed with the Music Development Officer directly.

Enriching but not replacing...

Music Generation focuses on the provision of performance music education – that is, the breadth of vocal and instrumental learning in all genres and styles of music. This includes all pedagogical approaches and practices appropriate to particular musical cultures and traditions, and is delivered by professional musician educators. Recognised by the Department of Education and Skills as non-mainstream music education, performance music education complements and enriches – but does not replace – the mainstream music curriculum provision of the formal education system. (Music Generation Strategic Plan)
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PULSE Percussion Programme (Gaillimh Percussion Bank)

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