Horizons Stirling

If you are human, leave this field blank.

Full name of participant: *

Participant's date of birth: *

Contact email address: *

Contact telephone number: *

Address: *

Postcode: *

Does the participant have any experience of dance, creativity and movement? If so, please give details: *

Tell us why the participant would like to join Horizons: *

The participant must be available to attend all sessions detailed on the Horizons Stirling page. *

I confirm the participant can attend all sessions detailed on the Horizons Stirling page.

Disabilities - Does the participant have any of the following conditions? *

Other:

Does the participant have any medical or access needs we need to be aware of? *

Will the participant have a carer or support worker attending sessions with them? Please note, any participant requiring personal care/support must bring their own support worker/carer along with them for the duration of the sessions. *

Yes, the participant will have a carer or support worker attending sessions with them.

No, the participant will not have a carer or support worker attending sessions with them.

If the participant is under 16 they must have a parent or guardian's permission to apply for Horizons. *

Yes, the participant has parental/guardian permission to apply for Horizons.

I am the participant and I am over 16.

Parental/guardian permission to be completed by parent/guardian. Declaration: By completing the following section you are confirming all information in this form is correct and you give your child permission to apply for Horizons. *

I hereby give permission for my child to apply for Horizons.

I am the participant and I am over 16.

Parent/guardian full name: *

To be completed by parent/guardian. if you are 16 or over please type N/A in the box.

Parent/guardian telephone number: *

To be completed by parent/guardian. If you are 16 or over please type N/A in the box.

Parent/guardian email address: *

To be completed by parent/guardian. If you are 16 or over please type N/A in the box.

It is necessary for YDance to take photographs and film footage throughout the project to be used in our current and future publicity, both printed and online. *

I am happy for photographs/videos to be taken of me and/or my child to be used for current and future YDance publicity, communications, publications and digital channels (e.g. websites, social media).

I do not give permission for photographs/videos to be taken of me and/or my child.

We would like to add you to our YDance mailing list to keep you informed about our latest projects and news. Please select one of the options below. *

Yes, I would like to be added to the YDance mailing list.

No, I do not wish to be added to the YDance mailing list.

By signing up to the YDance mailing list you agree to the terms set out in our Privacy Policy which can be found at www.ydance.org/about-us/privacy-policy/. We will not share your details with a third party. You can unsubscribe at any time by clicking the unsubscribe link at the bottom of our newsletter or by emailing info@ydance.org with your name and email address. If you are under 16 years of age you must have parent/guardian permission to sign up to our mailing list.

Please be aware that Macrobert Arts Centre plan to take photos/video footage, which may include you, your child or someone in your care. We would like to use these to promote similar events, activities and Macrobert Arts Centre generally in the following types of materials: Live Guides, Cinema Guides, Annual Reviews and Events Posters and Flyers; our website and on our Facebook, Twitter and Instagram channels; and in reports and evaluations of specific projects to key funders and supporters. The copyright for these photos remains the property of Macrobert Arts Centre and we will store them in a safe and secure location and not share them with any third parties. If you have any questions about this please visit the Macrobert website www.macrobertartscentre.org.

I give photographic consent to Macrobert Arts Centre for promotional purposes. *

Yes

I give permission for Macrobert Arts Centre to contact me via email for opportunities and workshop information. *

Yes

I consent to Macrobert seeking medical attention if required. *

Yes

How did you hear about Horizons? *

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YDance

Horizons

Horizons Stirling

Horizons Stirling

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YDance (Scottish Youth Dance)