2025 Out Hear IDPwD at Glenroy Community Hub - Registration Form and Media Permissions

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Thank you for expressing interest in taking part in the Out Hear program at Glenroy Community Hub, proudly supported by Merri-bek City Council. In the lead up to International Day of People with Disability on Dec 3, Out Hear will facilitate a number of creative workshops across sound and visual art. This is a great opportunity to create new expressions and make new friendships. In this program participants have the opportunity to share their work with friends, family and the wider community, through performance, exhibition and recordings. It is a great opportunity to celebrate the vibrant work made by the community, and amplify the voices artists with lived experience of disability.

IDPwD Event details: 12.30-2.30pm, Wednesday Dec 3

https://www.outhear.com/glenroy

Workshops: 10am - 1pm, Fridays November 14, 21, 28

Workshop facilitators - Dale Gorfinkel and Alister Karl

Out Hear requests contact details for participants as well as media permissions for sharing sound recordings and images.

More info about Out Hear:

outhear.com/

What is your (the participant's) full name? *

Phone number *

Organisation (optional)

Please list any access requirements

Do you consent to the publication of audio and visual artworks made by you (or the participant)? Only material approved by the participant will be considered.

Works may be shared on Out Hear and Merri-bek City Council website/social media, audio and podcast platforms, and radio. Artists will of course be credited for their work and will retain all ownership of their work.

Please note: although we would dearly love to celebrate work made during the program, answering 'No' does not exclude participation in the program.

Yes

Required

Do you consent to the publication of images of you (the participant)? *

Yes

Prefer images which don't identify the participant (eg close up of hands, back of head, artwork etc)

Other:

All artist will be credited for their work with their full name. Tick here if you would prefer to use first name only or another name.

First name only

Other:

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