'LANDING HERE' with Trish Cooke
EULOGY PROJECT - HERITAGE WRITING WORKSHOP FOR 9-11 YEAR OLDS
SATURDAY 1ST JUNE 19 - 10:00AM - 12:30PM
Chapeltown Library, Reginald Centre, 263 Chapeltown Road, Leeds, LS7 3EX
EVENT REGISTRATION AND CONSENT FORM - RETURN BY WEDNESDAY 29TH MAY 19
Attendance is by registration only and on a first come first served basis.

Please read all the information carefully then complete this form by WEDNESDAY 29TH MAY 19 , you will be asked to sign this form for consent on arrival to the event. Following registration we will be in touch with more details.

Your privacy is important to us - we will never share your details with any other organisation, individual or platform and they will only be used for the purposes indicated in this form including event co-ordination and management, registration and safety.

PARTICIPANTS’ INFORMATION (To be completed by parent/guardian/carer - please complete details for all those you wish to attend).
About the adults (age 18+) in your party
Adult 1 Full Name *
Your answer
Address *
Your answer
Phone Number *
Your answer
Email Address *
Your answer
Adult 2 Name
Your answer
Address
Your answer
Phone Number
Your answer
Email Address
Your answer
Your relationship to the children taking part in the workshops *
Required
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