Junction Groups Online Registration
If you would like to join one of our weekly online sessions for Electric Youth Theatre, School of Rock, Ukulele Junction or Tuesday Night Music Club, please completed the following form. All sessions are delivered using Zoom.
Electric Youth Theatre – Mondays – 5–11 year olds 6-7pm, 12+ year olds 7.15-8.30pm
Tuesday Night Music Club – Tuesdays 6-8pm
School of Rock – Wednesdays 6-8pm
Ukulele Junction – Thursdays 6-8pm
These sessions are offered on a pay-as-you-feel basis. For more information about each session please visit:
https://www.junctiongoole.co.uk/take-part/weekly-groups-2/
A member of Junction staff will be in touch with you to confirm membership and share access to the online sessions.
* Required
Please indicate the group(s) you are interested in joining
*
Electric Youth Theatre (Ages 5-11)
Electric Youth Theatre (Ages 12-18)
Tuesday Night Music Club (18+)
School of Rock (Ages 12-18)
Ukulele Junction (12+)
Required
Participant Name
*
Your answer
Please complete your contact information:
Email
*
Your answer
Mobile Number (meeting access codes will be sent by text message)
*
Your answer
Address & Postcode
*
Your answer
Emergency Contact Name & Number (if different to above)
Your answer
Do you have any medical conditiions/behaviour/allergies that we should be aware of? (this information will be kept confidential)
Your answer
How old are you?
*
I can confirm that I am 18 or over
I am aged 5 - 18
Required
If you are aged 5-18 please complete the following section:
Parent/Carer name (if under 18)
Your answer
Parent/Carer Contact Number (if under 18)
Your answer
We will send access to online sessions and information via text message and may send out music, activity sheets or other resources by post or email. We will not contact you for any other purpose.
Please tick all that are applicable:
*
I am happy to be contacted by text message
I am happy to be contacted by email
I am happy to be contacted by post
Required
Do you give permission for Junction to take photographs and/or video of you for promotional purposes?
*
I give permission for photographs and/or video of to be used
I do not give permission for photographs or video to be used
For musical groups (TNMC, School of Rock, Ukulele Junction) what is your playing experience?
*
None
Some basic experience / Used to play
Regular player
Submit
Page 1 of 1
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms