Creative Futures Advisory panel 2025 - Sign up and Medical Form

Youth Advisory Panel
We are searching for a group of diverse young people aged 13-18 to help shape Creative Futures and ensure that the project is relevant and accessible to your community.

You will help to shape project design, ensure accessibility and encourage community engagement. As well as advise on marketing, and act as project ambassadors to your peers.
Defnyddiwch yr opsiynau yn y gornel dde uchaf i gwblhau’r ffurflen hon yn Gymraeg neu Saesneg, fel y dewiswch.

Please use the options in the top right hand corner to complete this form in Welsh or English, whichever you would prefer.
Name*

First NameLast Name
Phone Number*
E-mail*
example@example.com
Date of Birth*

MonthDayYear
Date
Dietary Requirements (incl. Vegetarian, Halal etc)
Additional Requirements
Do let us know if you have any additional requirements that would help to ensure that your experience with us is as positive as possible.
Do you live with a disability or health condition?

If yes, please give details.
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Please share any useful details with us, so that we can ensure that we can offer you the best possible experience on the day.
Prescribed Medication Details (if any)
Emergency Contact
Relationship*
Name*

First NameLast Name
Phone Number *
Email*
example@example.com
By typing my name below I certify that the contact and medical information is correct and I give my consent to the statements above.
Consent of Member (if 18 or over
Consent of Parent (if member is under 18)
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Youth Advisory Panel