REGISTRATION FORM

Dream Big - Emerging Creatives Lab

Workshop Focus: Ethical Arts – your “creative” footprint, embedding sustainable and ethical knowledge in your arts practice!

DATE: Thursday 06 June

TIME: 6-8pm

VENUE: TBC

First Name *

Last Name *

Email Address *

Phone number *

Arts practice

What is your age group? *

under 1818-2525+

Parent/ guardian name *

Parent/Guardian contact details (email or phone no.) *

Do you have any accessibility requirements? *

YesNo

If you would like us to contact you about any accessibility needs or special requests, please use this space to provide your best contact detail

We are having pizza at the workshop! Let us know if you have any dietary requirements:

VegetarianVeganGluten free

Would like to send a link of your work? add link below

Additional comments, questions or accessibility needs

Cairns Regional Council – Information Privacy Statement

Your personal information has been collected for the purpose of assessing your application. The collection of your information is authorised under the Local Government Act2009. You are providing personal information which will be used for the purpose of delivering services and carrying out Council business. Your personal information is handled in accordance with the Information Privacy Act 2009 and will be accessed by persons who have been authorised to do so. Your information will not be given to any other person or agency unless you have given Council permission to or the disclosure is required by law.