Nature Jam

Registering an interest in Nature Jam

Thanks for your interest in Nature Jam!

To register your interest, please complete this short form. Please note that spaces are limited so not everyone who is interested will be able to take part on the weekend.

The information you provide will be stored in line with the Data Protection Act 1998.

1. First name: *This question is required.

2. Surname (family name): *This question is required.

3. Age: *This question is required.

4. Email address *This question is required.

5. Mobile number *This question is required.

6. Postcode: *This question is required.

7. Are you available for the whole weekend of 5-6th May 2018? *This question is required.

8. Why do you want to take part in this opportunity? *This question is required.

9. Do you have specific skills or area of the arts that you would like to focus on as part of this opportunity (ie creative writing, sketching, painting, writing music, film making, photography etc.)? If yes, please explain what it is. *This question is required.

10. How engaged with nature are you at the moment?
(We want to include young people with a variety of experiences and levels of engagement with nature so it doesn't matter what your answer is!) *This question is required.

I'm very engaged (I spend a lot of time in nature/I enjoy being out in nature/I already use nature as an inspiration)	I'm quite engaged	I'm a bit engaged	I'm not very engaged	I'm not at all engaged (I don't spend any time in nature/I don't enjoy being outside)
I'm very engaged (I spend a lot of time in nature/I enjoy being out in nature/I already use nature as an inspiration)	I'm quite engaged	I'm a bit engaged	I'm not very engaged	I'm not at all engaged (I don't spend any time in nature/I don't enjoy being outside)