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01423 502116

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Box Office

01423 502116

Tues to Sat 10am to 4pm

Youth Theatre Registration

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Name of Child*

First Last

Date of Birth*

Gender

Your Pronouns*

she/her

he/him

they/them

Other – please let us know!

Your Pronouns*

Name of School

School Year

Address*

Street Address Address Line 2 City Post Code

Child's Email

Parent/Guardian Email*

Ethnicity (e.g. White British, Asian, British, Caribbean, Chinese)*

This information is used for monitoring purposes only.

Please let us know of any particular needs or access requirements they may have so we can best support your child. (These details may include, but are not limited to, Anxiety, Autism, Dyslexia.)

Please note any medical information, conditions or allergies we should be aware of:

Emergency Contact Information

Contact 1: Name*

Contact 1: Phone*

Contact 1: Relationship*

Contact 2: Name

Contact 2: Phone

Contact 2: Relationship

Permissions and Agreements

Name*

First Last

I am a:*

Member

Parent

Guardian

Behaviour Policy*

I have read and agree to adhere to the behaviour policy.

Photography Permission*

I give permission for my child to be photographed or filmed.

I do not give permission for my child to be photographed or filmed.

We require permission from parents/guardians of our youth theatre members who are under 18. Participants without completed forms will not be photographed or filmed.

Walk Home Alone*

I give permission for my child to walk home alone after their session.

I do not give permission for my child to walk home alone after their session.

Privacy and Cookies*

I have read and agree to the privacy policy.

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