Support & Integration Fund ENROLMENT form Intended activity (course, workshop, studio) * Name * First Name Last Name Email * Number * Incase of Emergency (ICE) Name * First Name Last Name ICE Contact Number * Any health issues and or allergies we should be aware of? * Do you require any additional support for this activity? Further information Photo consent * Do you consent for a member of staff to take photographs of yourself and your work, that may be used on The Artworks website and Social Media spaces? Yes No Thank you for your feedback, it is greatly appreciated.
