Membership sign-up
You should use this form if you (as an under-19) or your child (as the parent of an under-19) would like to attend Prewired sessions.

There are no costs or benefits associated with membership, nor obligation to attend sessions. This is just to make everyone’s lives a little bit easier. If you would rather we didn’t indefinitely hold this information, let us know and we will remove your information from our database.

Attendee details
Full name *
Your answer
Email address
Your answer
Any allergies or specific dietary requirements? *
Your answer
Any medication it would be useful for us to know about? *
Your answer
Any illnesses, injuries or conditions that it would be useful for us to know about? *
Your answer
A website, blog, or cool project they'd like us to know about?
Your answer
Emergency contact details
Emergency contact name *
Your answer
Emergency contact relationship to attendee *
Your answer
Emergency contact phone number *
Your answer
Emergency contact email address *
Your answer
The attendee may be photographed or filmed during Prewired events and these photographs may be used in print or online publicity for future Prewired events. *
You give us permission to store these details, printed or electronically for as long as we deem necessary for the successful running of Prewired. However, we’ll log attendance and will automatically delete them if we don’t see you at Prewired for 6 consecutive weeks. *
Required
You also agree to make sure these details are up to date. If anything changes, please let us know by email (hello@prewired.org)! We’ll send you a reminder every six months or so. *
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