Please provide the following information to enrol your young artist on 87 Gallery Explorers!
Once you've completed this, you'll be directed to our secure payment page to secure their place.
Please wait to be redirected after clicking the ‘Secure’ button at the end of this page.

Please note: payment is for the full-term, and is not based on weekly attendance. Refunds are not available. We have a number of subsidised places available - to enquire about these please contact matt.fratson@artlinkhull.co.uk

Your Explorer's Name

First Name

Last Name

Explorer's Date of Birth

MM

DD

YYYY

Explorer's Age

Emergency Contact Phone

(###)

###

####

Emergency Contact Name

First Name

Last Name

Email Address

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Media Consent

Our privacy policy at 87 Gallery requires consent in regards to representation of children and young people. Explorers utilises digital processes including video, audio and photography. These recordings will be used on 87 Gallery's channels to share our experiences and to document the outcomes of the sessions.

Yes, I consent

No, I do not consent

Medical and Access

Please tell us of any allergies, medical or access needs of the participant

How confident is your Explorer in sharing and talking about their own work?

Voluntary Information: Do you consider your child to have a disability?

Voluntary Information: How would you describe your child's ethnicity?