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Personal Details


Residential Address

Alternative/Emergency Contact

Access and Support


At Access Arts we love to celebrate the work of our members so we we may use photographs, video and other media to spread the word! Please contact us on 07 3505 0311 if you are not comfortable with us documenting you or your work.

In compliance with Access Arts' risk management and insurance procedures, this enrolement form must be submitted BEFORE commencing any Access Arts workshop or program.