The Dilly Dally of Death & Dying
Participant Callout Form
Workshop: Wed 1 Oct 2025 11am-1:30pm
Kingston Arts Centre
Showing: Sat 4 Oct 2025 2pm-3:30pm
Kingston Arts Centre
Which Workshop would you like to attend
Wed 1 Oct 11am-1.30pm?
I confirm I can attend the workshop and the showing .
*
Yes
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Age Group
*
Under 18
18-24
25-34
35-44
45-54
55-64
65 and over
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Name of Parent/Guardian (if under 18)
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
I consent for my child to participant in The Dilly Dally of Death & Dying Workshop and viewing.
Yes
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Next
Emergency Contact (name and phone number)
*
Just to be safe, please provide an emergency contact including the person's name and phone number.
Do you have any medical conditions or allergies we should be aware of?
*
(Yes/No – if Yes, please specify)
Do you require any accessibility support to participate?
*
(Yes/No – if Yes, please specify)
What is your interest in participating in this event?
*
Do you have any previous experience relevant to this activity (e.g. singing, acting, can play an instrument, performed in other events)?
*
How did you hear about this event?
*
City Of Kingston website
City of Kingston email
Facebook
Instagram
Word of mouth
Other
Do you consent to photographs or video recordings of you being used for archival and promotional purposes?
*
Yes
No
I confirm the information provided is accurate and I agree to participate in this event.
*
Yes
I have read and agree to the event’s Code of Conduct and Safety Guidelines
*
Yes
Would you like to join our mailing list for future events?
*
Yes
No
Submit
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