Write Club Registration Form

Registration for Fighting Words NI's teen writing clubs including Write Club, Playwright Club and other genre-specific groups.

I am registering for (please select as many as you like): *

Write Club: Prose & Poetry

Playwright Club

Journalism Club

Participant first name *

Participant surname *

Date of birth *

Day

Month

Year

Address Line 1 *

Address Line 2

Home town/city *

School Name *

Home postcode *

School Postcode *

Parent/guardian name *

Parent/guardian telephone number *

Parent/guardian email address *

Alternative parent/guardian name *

We ask for this for emergency use only, in case we are unable to contact the above parent/guardian.

Alternative parent/guardian telephone number *

Alternative parent/guardian email address *

Which email address would you like us to include in our weekly mail out? *

This email includes the Zoom link for the meeting and other Write Club-related news.

If you would like your child to be included in our weekly mail out, please include their email address here.

Please note that we will not contact your child for any other reason and we will always copy you in on all communication.

Does your child have any special considerations, additional needs or a medical condition(s) that we should be aware of? *

Yes

No

If yes, please provide details. *

If yes, please provide details.

We may take photographs and/or video recordings of activities. Some of these may be used for publicity purposes. Do we have permission to take photos of your young person and to use these for publicity purposes if required? *

Yes

No

How did you hear about us? *

Parent/Guardian: Please type your signature and date here *

By signing below, I give permission for my child to attend Write Club sessions.

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