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Register for Cashback to the Future 2018

Register for the Cashback to the Future summer programme for 2018!

If you have any questions about filling in this form, please contact Impact Arts’ Rosanna Hall on 07795 233408 or email

Note: by submitting your information, you are permitting Impact Arts will retain your data as part of our performance of a contract for a period of three years. This will be stored in physical files, on our server and on our database for reporting to funders and recording statistics.

After the retention period these files will be deleted as appropriate. We may keep some anonymised data for statistics/reporting on salesforce in line with GDPR regulations.

Should you wish to withdraw consent at a later date you can make contact with the Data Protection Officer for Impact Arts on 01415753001. Should you wish to complain about how we have processed your data at any time you should do so to the Information Commissioner’s Office.


Fields marked with a * are required.

Basic details

Which area will you be attending CashBack workshops? *

Have you attended CashBack to the Future before? *

Gender: *

Emergency contact details

Eligibility: *


I am: *

Employment position

About the course

How did you hear about this course? *

If referral is supported by a worker or organisation (e.g. social worker, key worker, teacher):

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The team at Impact Arts work hard to secure over £1.5m of funding per year to provide life changing creative experiences for more than 5000 people.

You can help us achieve this target through making a single gift, or a regular donation. Thank you.

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