UPCOMING SHOWS! Beauty and The Beast - 9th December - 1st January | A Truly Magical Family Pantomime - DAN OSBORNE (Star of The Only Way is Essex) as Gaston | Princes Theatre, Clacton-on-Sea, Essex

APPLICATION FORM

YOUR DETAILS

First Name:

Surname:

Address / Postcode:

Email:

Phone Number:

Work Number:

CHILD DETAILS

First Name:

Surname:

Gender:

DOB:

Age:

School Year:

EMERGENCY CONTACTS

Primary Emergency Contact

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Secondary Emergency Contact

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MEDICAL INFORMATION

Hospital/Clinic name:

Doctor's name:

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Known medical conditions:

Allergies:

Current Medications:

PHOTOGRAPHY PERMISSION

Please tick the correct box

give permission for performance photographs of my son/daughter to be displayed on the group (private) facebook page or in the press.