Overdrive Sign Up Young Person's Name * First Name Last Name Date of birth * MM DD YYYY Name of emergency contact * First Name Last Name Relationship to the young person * Phone number * (###) ### #### Parent/guardian's email address * Allergies and medical information * Photo Consent * It's really helpful for us to be able to take pictures in order for us to document what we are doing. These pictures are often sent to organisations that provide funding for us as well as to help us promote our projects in the wider community. As this and many of our other youth work projects are provided for FREE, generating revenue through external funding is very important to us. If you would be happy for us to use photos of your young person within promotional materials please indicate below. Yes I give photo consent No I don't give photo consent Areas of interest * Please indicate which instruments/areas you are interested in. Please let us know your level of ability below. Complete beginners are welcome! Drums Bass Guitar Electric Guitar Accoustic Guitar Vocals Production DJ Skills Keyboard Level of ability * Please let us know a rough level of ability for the instruments/areas that you're interested in. For example: No experience/Beginner/Expert I have my own instrument and will bring it (we have drums so no need to bring!) * Yes No Do you have any comments or questions? Thank you!
