Turbo Trackz
Identity
Title
Please Select
Mr
Miss
Mrs
Ms
Dr
First Name
Last Name
Pronouns
Please Select
He/Him
She/Her
Them/They
Which name do you like to be known as?
Date Of Birth
Day
1st
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Month
January
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Year
2036
2035
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1911
1910
Address
Address1
Address2
Town
Borough
Post Code
Contact
Email
Mobile
Preferred method of contact
Mobile
Telephone
Email
Emergency Contact
Title
Full Name
Relationship to Participant
Mobile
Email
Preferred method of contact
Mobile
Telephone
Email
Content Consent
I give my consent / permission for my artistic content created during Raw Material sessions, to be used if required on Raw Materials social media and website
Please choose a value
Yes
No
Prefer not to say
Demographic
Gender
Please choose a value
Female
Male
Nonbinary
Female Transgender
Male Transgender
Prefer not to say
Cultural background
Please Select
Asian/Asian British
Black/African/Caribbean/Black British
Prefer not to say
White
White and Black African
White and Black Caribbean
Mixed Race
White/Asian
Medical/Dietary needs
Do you have any special medical or dietary needs we should know
Parental Consent to Participation
Parental/Guardian Consent Required (participants under 18)
Please Select
I have received consent from a parent/guardian to participate.
Other
Education & Employment
Are you currently receiving benefit related free school meals?
Please Select
YES
NO
Media Consent
I give my consent / permission for photos and videos to be taken during the project, to be used if required on Raw Materials social media and website
Please Select
Yes
No
Prefer not to say
Parental/guardian media consent
Please Select
Yes
No
Prefer not to say
Programme
Are you an MC, rapper or singer?
Please Select
MC
Singer
Rapper
Other type of artist
If you selected other, please explain what type of artist you are?
Why you are interested in this project?
What do you hope to gain from this course?
Please provide a URL to a music track you feature on as a singer, rapper or MC.
How did you hear about Raw Material?
Submit