Spotlites Youth Theatre Consent Form


Please complete and click submit, you will then be redirected to the payment page



Member's Name

Address

Postcode

School / College

Home Phone Number

Parent's Emergency Mobile

Member's Mobile Number

Member's Date of Birth

Date

Month

Year


Any medical information we should have

(please tell us about diabetes / epilepsy / asthma / dyslexia / dyspraxia / aspergers / autism)

Member's email address


Your Start Date

. Day

Date

Month

Year


Which session do you wish to join. Please select an area, then the session.
Please only select one

Chatham (Spotlites @ Kings Theatre)

Maidstone (Spotlites @ Brunswick House)

Gravesend (Spotlites @ Riverview School)

Sittingbourne (Spotlites @ New House Centre)



------------------------------- Consent Section -------------------------------

Can we & the press take photos and video of your child Yes or No

I give permission for my child / self (if over 18 years) to take part in Spotlites Workshops.
I accept that whilst every care will be taken this will be at my own risk. Yes or No

I have read and accept Spotlites rules (click here to read the 'Spotlites rules 1 to 3') and agree to give 4 weeks term time week's notice or pay 22 in lieu to stop my membership when the time comes. Yes or No

Should the necessity arise, I give permission for an anaesthetic to be administered to my child (self if over 18 years) or for any other urgent medical treatment to be given. Yes or No

I give permission for these details to be kept on Spotlites' database to aid emergency contact. Yes or No

Parent's Signature (print name)

Name of Parent / Guardian who completed this form


Parent's email address



Please click send below, you will then be redirected to the payment page


We do not share or sell any of our Data to anyone else.



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