Registration Form
'Some Kind of Hack Space'
Need any assistance?
If you would like help with signing up, please email us at events@artillery.org.uk or call, text or WhatsApp message us at 07947 275774.
What will happen after I fill in this form?
Once you have registered, we will email you with a simple booking form - please be sure to book for the individual sessions and any workshops you would like to come to. We aim to send the booking form and information pack to you within 48 hours of you signing up. The information pack has a detailed sensory audit of the venue, directions and a map to help you plan your visit.
Your Data
Information provided in this form is to help us plan the sessions to suit you. We will send the project funders some general information about how the project went but we will not share your name or any personal details about you. If we would like to share your information, photos or videos, or brilliant ideas for any other purpose we will ask your permission first.
Young Person's Details
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
Address
Street Address
Street Address Line 2
Town
City / County
Post Code
Age
*
Date of Birth
*
-
Month
-
Day
Year
Date
Gender
Ethnicity
What are your current interests or hobbies? Do you have any suggestions for activities you'd like to see at Some Kind of Hack Space?
Do you have any projects you are already working on that you might like to bring with you to Some Kind of Hack Space?
Is there anything you would like us to know to help you participate? For example any neurodivergent conditions, health conditions or access requirements. We recognise that neurodivergent conditions might be diagnosed or need to be self assessed.
Do you have any dietary requirements or allergies?
We may take some photographs or film to help document the project. We will try to do this is a way so we don’t interrupt your work and will check again with you before using any images taken. Do you given us permission to include you in any photographs or film?
*
Yes
No
In Case of Emergency
Contact Name 1
*
First Name
Last Name
Relationship to Young Person
*
Phone Number (in case of emergency)
*
Contact Name 2
First Name
Last Name
Relationship to Young Person
Phone Number (in case of emergency)
Any siblings who may be attending with you? Please give their names and ages.
Please note, siblings 16 and under must be accompanied by a parent or carer
We look forward to meeting you, Laura and Dave.
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