Kings Theatre Arts Academy Youth Registration Form

Name of Parent/Guardian*

First Last

E-mail address of Parent/Guardian*

Preferred Contact Number*

Name of Child*

First Last

For additional children please fill in a separate form.

Child's Pronouns

School Year Group of Child*

School*

Home Postcode*

Local Authority (i.e Portsmouth City Council, Hampshire County Council etc)*

Child's Date of Birth*

Physical Health Conditions and Accessibility Requirements*

Please tell us about any medical conditions, allergies or access requirements your child may have.

Mental Health Conditions and Educational Needs*

Please tell us about any mental health and educational needs that your child may have.

Notes and Additional Information

Please tell us about any additional relevant information that we may be need to aware of.

Do you consent for your child to have First Aid if necessary?*

Yes
No

Name of Emergency Contact 1*

First Last

Emergency Contact Number 1*

Name of Emergency Contact 2 (Optional)

First Last

Emergency Contact Number 2 (Optional)

How did you hear about Kings Theatre Arts Academy Youth?

May we use your child’s image/video on the Kings Theatre website, official social media pages, printed publications and press releases?*

Yes
No

This decision does not affect your child participating in our programme. Please be aware that the Kings Theatre documents all shows and on occasion some rehearsal using photo and video footage for archival reasons. Show photos that have been taken with consent will be held on record by the Kings Theatre and may be used for further archival and promotional reasons from time to time, even after the child has left the youth theatre. By signing this form, you are consenting to these show & rehearsal images & performance videos being kept within our theatre archive.copy of the Kings Theatre safeguarding policy can be obtained by emailing KTAAYouth@kingsportsmouth.co.uk.

Data Protection*

I agree.

By ticking the box I agree that the Kings Theatre will process my data in accordance with the Data Protection Act (2018), General Data Protection Regulation (2016) (GDPR), Privacy Electronic Communications Regulation (2003) (PECR) and in line with their Privacy Policy.
By submitting this form, you are confirming that all information provided is accurate at the time of completion and agree to inform our team of any changes to this information during your child's involvement.

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Kings Theatre Arts Academy Youth Registration Form

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