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PORTfolio mixed media workshop - 31 October 2026

To secure your place at this PORTfolio workshop (for 14-18 year olds) on Saturday 31 October 2026, you must complete this form.

• If you are 18 you can complete this form yourself.
• If you are under 18, you will need your parent/guardian to complete this form.

PORTfolio mixed media workshop participation form

Full name

Email address

Date of birth

Preferred pronouns

Emergency contact name

Emergency contact number

Do you require any extra support, for example because of a disability, access needs or are there any activities that you cannot participate in?

Do we need to know about any medical conditions, allergies or dietary requirements? If yes, please provide details of the condition(s) and any medication needed.

Please be advised that Gallery staff and/or a booked photographer may take photographs of participants, and we may also choose to publicly share artworks that have been created (we will always ask permission). 

We may, in some cases, use these images to publicise the Gallery’s services (on the website, in social media – including Facebook, Instagram, Twitter – in promotional leaflets and displays etc.) They may also be retained permanently for historical research purposes.

Do you give permission for images of you to be taken and used in this way?

Please be advised that Gallery staff and/or a booked photographer may take photographs of participants, and we may also choose to publicly share artworks that have been created (we will always ask permission).  We may, in some cases, use these images to publicise the Gallery’s services (on the website, in social media – including Facebook, Instagram, Twitter – in promotional leaflets and displays etc.) They may also be retained permanently for historical research purposes. Do you give permission for images of you to be taken and used in this way?
A
B

Sometimes, young people ask to leave the Gallery to get food etc. If the participant is under 18, please give us permission for your young person to leave the Gallery independently during a short break.

Sometimes, young people ask to leave the Gallery to get food etc. If the participant is under 18, please give us permission for your young person to leave the Gallery independently during a short break.
A
B
C

Please select one of the following:

Please select one of the following:
A
B
We collect data about you to keep in contact with you about the activities, to give you access to our Collection and facilities, and to keep you safe. For more information about the way we use your data, please see our Child and Young People Friendly Privacy Notice.