First Name

Last Name

Date Of Birth

Gender

Address

Telephone

Email

Guardian Name (if under 18)

Guardian Email

Guardian Telephone

Relationship To You

Do you have any requirements that we need to be aware of to enable you to take part in this project? Do you have any requirements that we need to be aware of to enable you to take part in this project? Yes No

What would you like to get involved in? (you can select more one) What would you like to get involved in? (you can select more one) Dancing Singing Acting Write/produce music Stage production Costume design Research

Would you like to receive information about activities and events from our partner organisations? Would you like to receive information about activities and events from our partner organisations? Yes No

For those under 18 I can confirm that I have consent from my parent/carer/legal guardian For those under 18 I can confirm that I have consent from my parent/carer/legal guardian Yes No N/A

For all applications I can confirm that the content I am submitting is free from anything that is offensive to others, is not violent, does not contain anything that has a sexual nature and is appropriate for my age For all applications I can confirm that the content I am submitting is free from anything that is offensive to others, is not violent, does not contain anything that has a sexual nature and is appropriate for my age Yes No