OverDub Club – Registration of Interest
OverDub Club is a new programme run by Quench Arts (www.quench-arts.co.uk) for neurodivergent children aged 11-13. The project will focus on creative music making using ‘hands-on’ music technology and gadgets! We aim for the sessions to be fun and relaxed. Through the sessions we hope to help children build group skills and friendships, using music to support with emotional regulation and building resilience.

We will accept interest in the programme from children representing the full range of neurodivergence. The programme is open to children and young people with a formal diagnosis as well those where some form of neurodivergence is suspected and/or the child is undergoing assessment.

This form is for parents/ carers to complete but please ask for your children’s help in answering the questions! If you have any questions, feel free to call us on 07716 362478 or email: info@quench-arts.co.uk.

Please note that, though the programme has been created through consultation with neurodivergent children and young people, the project sessions will be structured around the needs and interests of the actual children attending as far as possible. There will be an option to tell us whether your child would prefer individual sessions, sessions in a pair (with another participant), or small group sessions. However, as a key aim for the project is to build social connections, there will be an expectation for every child to progress to some form of collaboration over the sessions. OverDub Club is a 13 week project but we will run the programme twice each year. You will be able to tell us whether you’d prefer your child to start the project in August or November.

The project will run on Thursday evenings between 4-7pm, though the 3 hours will be split to cater for children with different needs. We expect that most children will attend for a maximum 1 hour initially and we will allocate timeslots once we have allocated all of the places. The sessions will be led by our experienced music leader, James Stanley who is trained in youth mental health first aid, autism awareness and trauma informed practice. James will be supported by young music leader Tom Culling.

The project is run by Quench Arts but the sessions will run from a neuro-inclusive space we've hired within Sense TouchBase Pears, 750 Bristol Road, B29 6NA. Free parking is available (accessed by Selly Wharf). Selly Oak train station is 2 mins walk away and several buses stop nearby on Bristol Road (numbers 61 and 63 stop on Elliot Road and at the train station).

If you are still interested in your child taking part, please complete the questions below.
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Child's full name: *
Child's date of birth (this project is for children aged 11-13 years): *
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Child's pronouns (she/her; he/him; they/them, etc): *
Child's ethnicity (optional)  – we ask this question to help us understand any gaps in the types of people we are reaching:
Full name of parent/ carer/ guardian: *
Email address for parent/ carer/ guardian: *
Telephone number for parent/ carer/ guardian: *

Address & postcode (this should be where the child is residing):

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Please tell us about any music interests and/or experience that your child has (it’s fine if they have no prior experience):

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Optional - If your child attends school, please let us know which school they go to (this helps with our reporting to Birmingham Music Education Hub, who are match funding our Youth Music grant):

Please tick the type of sessions that your child would prefer:

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Required

Please tell us about any access or learning needs that your child has. We are asking this question so that we can make the sessions as inclusive as possible. (Some examples might be needing wheelchair access, a disabled parking space, large print information, etc. We will have fidget toys and some ear defenders on site, but your child may prefer to bring their own).

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Please tell us anything else that might be helpful for us to know to best engage and support your child in the sessions. If they have a formal diagnosis or if you suspect a particular condition, please tell us here. Please also tell us if there are particular sensitivities or triggers we need to be aware of (as well as things they love!). 

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Optional: If you are comfortable to do so, please let us know if your child currently receives support from any other services or organisations. For example, if they access groups with Resources for Autism or have support from Forward Thinking Birmingham, or if they are on a waiting list for support. It will be helpful for us to know this to potentially help us access future funding support for the project.  

Please tell us about any allergies your child has:

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Please tell us about any dietary requirements your child has:

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Please tell us any medication that your child is on (in case of an emergency):

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Will your child need to be supported by yourself or a personal assistant/carer in the sessions? Please note, if they normally require a carer/personal assistant at home, they will need to have this support in the sessions. Quench Arts aren't insured to provide any personal care.

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If you answered yes to the question above, please tell us who will be attending with your child and their relationship to your child (e.g. Joe Bloggs, father / Joanne Bloggs, personal assistant).

The project will run for 13 weeks on Thursday evenings (12 weeks, plus an informal sharing/celebration). Please select the start date you’d prefer for your child.

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Are there any dates that your child would need to miss (e.g. for a holiday booked? Please note that 30th Oct is half term for most children)? If so, please tell us here:

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