Youth Theatre information form

If you are part of our Youth Theatre, or just giving us a try, please complete the following information form.

Student's name

Date of birth

Student's school year

Parent's / Carer's / Guardian's name

Contact email

Contact phone number

Student's postcode

Any medical conditions, allergies or things we should know

Name of emergency contact

Phone number of emergency contact

Please tick below to confirm that you DO GIVE PERMISSION for pictures/video to be taken and used by The Elgiva.

This only applies to the Youth Theatre senior group, school years 7 to 10.
Please tick below if your child is 11 or over and you DO GIVE PERMISSION for them to leave the Youth Theatre session without a parent / guardian and would no longer be the responsibility of the Youth Theatre Leader