Red Line Book Festival Queenship Cypher Application

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* 1. Your Details

Name *

Address *

Address 2

City/Town *

ZIP/Postal Code

Country

Email Address *

Phone Number *

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* 2. Date of birth

Birth Date

Date

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* 3. Which art stream are you interested in?

DJ/Producing

Songwriting

Visual Arts/Set Design

Dance

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* 4. Please tell us why you want to take part in this project and about any previous experience you have.

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* 5. Workshops will take place on the following dates:
Thursday 21st September
Thursday 28th September
Thursday 5th October
Thursday 12th October
Performance: Thursday 19th October
You must be available to attend all the workshops from 6-8.00pm and all day on the date of the performance.

I confirm I am available on all of the dates above.