Level Makes Registration Form

Please complete this form and a member of the LEVEL team will be in touch to make sure the sessions are right for the participant. If you have any queries, please contact projects@levelcentre.com for more information.

Participant's Details

Participant's Name *

Street Name *

House name/number

City

Postal Code

Country

About the Participant

Does the participant have any access requirements? *YesNo

Main Contact Details

Please complete if different to participant's details

Main contact name

Main contact phone number

Email address of main contact *

Emergency Contact Details

Please complete if different to main contact's details

Emergency contact name

Emergency contact phone number *

Relationship of emergency contact to participant

Photo and Video Consent

Are you happy to appear in photos and videos that promote LEVEL? *YesNoWe celebrate, promote and document the work of LEVEL through still images and video recordings. By ticking 'Yes' you agree to your image being used.

GDPR

GDPR *Yes, I agree with the privacy policy and terms and conditions.