Black Pocket Learning Programme for Children and Families Registration Form Parent's name* Phone number* Email address* Child Name 1* Age 1* Child Name 2 Age 2 Child Name 3 Age 3 Child Name 4 Age 4 Workshop and Course:* Make Your Own Postage Stamps Make Your Own Block Printing Stamps Embroidered Map / Dresses Archives from Sharjah How did you hear about us? Search engine Email Advertisement Social media Friends / family School / university Other Is this the first time you have registered for a SAF programme? Yes No What types of activities does your child enjoy? Workshops Courses Excursions Other If other, please specify: What is your child interested in? Exhibitions and events Art education workshops Photography workshops Cooking workshops Gardening workshops Meetups Trips Music nights Other If other, please specify: Do any of the participants have a disability?* Yes No Is there any kind of special support the participant will need during the workshop(s)? Yes No If yes, please explain below: Will a companion join a participant? Yes No If yes, please mention the companion’s name and the relationship to the participant. address1