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Spark! Sign Up form
Thanks so much for your interest in Spark!  Spark! is youth movement using art, culture and creativity to make Chelmsford an even more fun and inspiring place to live. 

Spark! runs a regular creative youth forum for young people aged 16–25yrs. The group meets on Monday evenings from 5–7pm, normally at Chelmer Gate Youth Centre (CM2 0LG).

Spark is completely FREE to take part in and we provide free snacks! 

Spark is part of Culture Chelmsford an independent charity working to build cultural infrastructure in Chelmsford.

If you have any questions before filling this out feel free to email: spark@culturechelmsford.org.uk or call Spark! manager Jess on 07934 755562.

Please send us your details in the form below to sign up to the project. If you are under 18yrs old please fill out with a parent/guardian for relevant permissions. The parent/carer will then be called or emailed afterwards for any final details and to check permissions. 

This information will be stored securely by Culture Chelmsford and only used to support your Spark! membership and also shared with Essex Youth Services for this purpose. 
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Young person's full name *
Preferred pronouns
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Young person's date of birth  *
(Please note our age range is now 16-25yrs)
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Young person's postcode  *
Young person's mobile telephone number (if applicable)
Young person's email address (if applicable)
How did you hear about Spark? *
We provide snacks and sometimes light meals. Does the young person have any allergies or special dietary requirements that we may need to be aware of?
Please let us know of any additional needs or special requirements that we can support with? 
Does the young person have any medical needs? (Please also include allergies / asthma / any thing else we may need to know)
Emergency contact details:
- name
- phone number
- relationship to young person
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Alternative emergency contact details:
- name
- phone number
- relationship to young person
 *
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