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Contact Us
Join Us Form
bloco
2020-02-12T11:38:20+00:00
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Us
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Please ensure you fill in all the questions fully.
subject
*
name
*
date of birth
*
gender (optional)
address
borough
full postcode
email address
*
home phone
mobile phone
ethinicity (optional)
do you have a statement of special needs?
yes
no
do you consider yourself to have a disability?
yes
no
are you eligible for free school meals?
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no
are you eligible for pupil premium?
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Please state any medical conditions or statement of special needs we should be aware of, or for which you take medication.
are you in education or work?
yes, at school
yes, at college or university
yes, in employment
none of these
name of school / college / university / employer
What Course do you want to do?
*
drumming
brass or woodwind instrument
steel band
dance
Not all the options may be available for every course, so please refer to the information on the Join Us Page (Croydon Bloco has NO Dance option)
if you picked brass/woodwind what instrument do you play?
have you passed any music / dance exams?
yes
no
Costume
Information
waist size for costume
*
in inches or size 8, 10, 12 etc.
T-shirt size for costume
*
S, M, L, XL etc.
How did you hear about kinetika bloco?
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At Kinetika Bloco we take your privacy seriously and will only use the information you provide on this form to contact you regarding Kinetika Bloco project and performances activity and to report to our funders on the impact of our work. (All data used to report to funders is anonymised and used mainly in % - as in 50% of participants come from Southwark.) We will keep and update this data for the years that you are active with Kinetika Bloco in order to communicate with you. Following this we will move you to an Alumni Database. We have a Newsletter which goes out monthly through MailChimp including information on other projects you might be interested in. If you would like to be added to this newsletter
please sign up here
.
If you would like to read more about our Privacy Policy and processes, please
click here
. And if you want to withdraw your information or have any questions or concerns about our data processing please contact
Tamzyn
.
Please tick this box to say that you are happy for us to contact you. We do not share private details, communications will only be to inform you about events.
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