Registration for Fighting Words NI's after-school writing activities. I am registering for (please select as many as you like): * Write Club True Stories! summer camp Scripted Mischief summer camp Participant first name * Participant surname * Date of birth * Day Day12345678910111213141516171819202122232425262728293031 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Year Year200520062007200820092010201120122013201420152016201720182019202020212022202320242025 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? * Website Social media Print media From a current write club member From a school teacher/staff member Other Parent/Guardian: Please type your signature and date here * By signing below, I give permission for my child to attend Write Club sessions. 1 Start 2 Complete
