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MIRROR MIRROR CONSENT FORM 2024
Confirm your full name
*
SUMMER SCHEDULE
CONFIRM ATTENDANCE: You'll be required to attend every session to be eligible for this programme. We do not accept unexplained absences. Missing any sessions will result to being removed from the programme.
*
Tuesday 30th July, 5:30-8pm
Friday 2nd August, 10-3pm
Tuesday 6th August, 10-3pm
Friday 9th August, 10-3pm
Tuesday 13th August, 10-3pm
Friday 16th August, 10-3pm
Tuesday 20th August, 10-3pm
Friday 23rd August, 10-3pm
Tuesday 27th August, 10-3pm
Friday 30th August, 10-3pm
Tuesday 3rd September, 10-3pm
Saturday 14th September, 12-6pm
If you cannot attend any of the above dates and times, tell us why.
*
You'll receive a specialist mentor who will support you throughout the programme. Do you consent to this?
*
Yes
No
We'll be visiting BBC Broadcasting House on Friday 16th August (Location: Portland Pl, London W1A 1AA). Will you be able to attend?
*
Yes
No
Social Media Consent
Does your parent/carer grant permission for the Ment4 to use photographs or videos of yourself on social media?
*
Yes
No
Other
Any allergies or medication that our team need to be aware of? If Yes, please share.
Is there anything else you would like to share?
Submit
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