SHOW FORM 2022

Performer Name

Please spell correctly as we will use this in the programme

First Name

Last Name

Performer Date of Birth

Performer Medical Information

eg ADHD, ASD, Allergies

Contact Email

For updates on rehearsals and shows

Emergency Contact Name

First Name

Last Name

Emergency Contact Number

Must be available to call during rehearsals and the shows

Have you already paid your show fees?

Yes

Please check

Have you already purchased tickets in 2020?

If YES please add below the total amount of tickets and the ticket reference number If NO please write NO

I hereby give permission for the use of performers photographic image or video footage to be used on social media and the internet in line with safeguarding and child protection rules.