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KaS Member Registration Form

Questions marked with a * are required
Welcome to KaS Project and thank you for showing your interest to our workshops. To ensure a safe a friendly environment for all participants, we are collecting some basic information before we show you the KaS world. After submitting your registration information, you will be able to reach the KaS workshop list and choose as you wish.  

Member Contact Information
DEMOGRAPHICS
Age:
What best describes your ethnicity
What best describes your sexual orientation
What best describes your gender?
What sex were you assigned at birth? 
Do you consider yourself to have a disability/ies?
YOUR STATUS
Before the Workshop, your level of...
Really LowLowOkayHighReally high
Feeling of loneliness is..
Ability to cope with ISOLATION is..
KNOWLEDGE around health and well-being is..
AWARENESS of support services is..
CONFIDENCE to deal with issues is
How did you find us?
Which workshops are you interested in?
Consent
Spectra will retain a record of your name and contact detail for 1 years in order to be able to communicate with you in relation to KaS Project and its evaluation, and/or case management.
Spectra requests your agreement to retain and use your personal data for this purpose.
Spectra does not share your personal data with third parties, other than Club Kali Network in relation to this KAS project.
By submitting this form, you are confirming that you are consenting to the Spectra holding and processing your personal data for the these purposes (please tick the boxes where you grant consent):
Spectra may contact me for KaS Project evaluation
Spectra may keep me informed about events, activities and services (note you can unsubscribe from us at any time)
Club Kali may keep me informed about events, activities and services (note you can unsubscribe from us at any time)