Signal Starters - Christmas filmmaking workshops
It must be a parent or guardian who completes this form

Workshops dates: Thur 20th - Sun 23rd Dec.
Thursday and Friday - 3.30pm-6.30pm
Saturday and Sunday - 10:30am - 3:30pm
Each session will be held at Signal Film and Media (104 Abbey Road).
Application does not guarantee placement. We will be in touch via phone and email to confirm those with successful places.
We are working towards full implementation of the new GDPR rules (new Data Protection guidelines). Any personal data information collected by Signal Film and Media will be stored securely for feedback and monitoring purposes only. Non-personal demographic data may need to be sent on to funders as evidence, otherwise we would not share any information with third parties. To view, access, edit or delete your information please contact: info@signalfilmandmedia.co.uk.

By filling in this form I give permission for my child to take part in the Signal starters workshops. *
Child's name (first and last) *
Your answer
Which school does your child attend? *
Your answer
House number and street name *
Your answer
Town *
Your answer
Postcode *
Your answer
Home phone number
Your answer
Mobile
Your answer
Emergency contact *
Your answer
Email address *
Your answer
Gender *
Date of birth *
Please write the date of birth in number form (03/06/90 for example).
Your answer
Special requirements *
Please let us know of any special requirements your child might have. With this information we will be better equipped to support them during the workshop.
Your answer
Who will dropping off / picking up your child ? (name, number and relationship to child) *
Your answer
Can we contact you about future activities with Signal Film and Media? *
This includes contact with you during the time your child is working with us.
Would you like to join our mailing list? *
Joining our mailing list means you will receive updates on projects, opportunities, events and other news our work.
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