Sounds of Light Registration Form

Full Name*
Preferred name
Gender*
First Line of Address*
Postcode*
Contact Number
Email
example@example.com
Ethnicity
Additional Needs: Brief details of disability, additional needs, or medical conditions. We may get in touch for more information before your visit to make sure everyone has the best experience.
EMERGENCY CONTACT
Name*
Relationship*
Address (if different from above)
Phone*
Email*
example@example.com
FURTHER INFORMATION
Mode of transport
How did you hear about us?
I agree that my voice/instrumental playing (in videos or recorded music created in the sessions) may be used for
marketing and publicity purposes in printed publications, on social media, on the Lips Inked Arts website or elsewhere.
Should be Empty: