Name *

First Name

Last Name

Emergency Contact Number (other than the one provided in the Audition Booking Form) *

(###)

###

####

I understand the £125 Subscription is to be paid in full by 31/06/2024 *

Yes

I give permission for first aid or urgent medical treatment to be given at rehearsals or during show week *

Yes

No

I give permission for photos/videos of the cast member to be used for advertising/marketing purposes *

Yes

No

I give permission for my child to leave rehearsals on their own (under 16's only)

Yes

No

I give permission for my child to leave the Church Hill Theatre on their own (under 16's only)

Yes

No

I confirm I will attend the following fundraisers (You must attend at least 2 events) *

Bingo night - Saturday 23rd August 7pm - late

Coffee Morning - Saturday 20th September

Bag Packing - Saturday 25thb October (Venue TBC)