Youth Theatre Sign-up

Register Your Child

From September 2023 my child will be in...

Participant's Information

First Name

Middle Name

Last Name

Date of Birth

School Year

Address

Address Line 1

Address Line 2

Address Line 3

Town

Postcode

Each child will need to complete a registration form, but by completing this section you will be eligible for our sibling discount.

Name of sibling(s)/Year group of sibling(s)

Home Phone Number

Does your child have any medical conditions (e.g. allergies) which we should be aware of? Please give details

Does your child have any additional needs (e.g. are they autistic, dyslexic, neurodivergent, etc.) that we should be aware of? Please give details.

Are there any adjustments we can make to help your child settle in or to provide extra support if needed during a session?

Emergency Contact

By completing this form you agree to us contacting you in the case of an emergency.

Emergency Contact Name(s)

Relationship to Participant

Emergency Contact Number(s)

Parent's Contact Email Address

This will be used for correspondence about the group

Cancellations

If a group leader is unable to run a session due to illness we will do our utmost to provide cover and avoid cancellation. In the unlikely event that we are unable to do this, or give sufficient notice that a Youth Theatre session has to be cancelled, a member of our Front of House team will use the details you provide on this form to contact you by phone to inform you of arrangements.

Permissions

If your child is aged 14+, do you give them permission to leave sessions unaccompanied (without a parent or guardian)?

Yes

No

Not applicable

By completing this form you are giving permission for the Corn Exchange to take photographs and/or video footage of your child during the sessions for use in the following ways

Reporting to sponsors/funders

To promote the Youth Theatre groups on the Corn Exchange website, press and in print

To feature on the Corn Exchange's social media platforms if required

To share internally to keep our staff informed of our 'Get Involved' activities

For inclusion in individuals Arts Award portfolios as evidence of their Arts Explorations

Please untick boxes below if you are not happy for any photographs or video footage to be used in the specified way.

By completing this form you give us permission to use the email address you have provided to communicate with you about Youth Theatre. In addition to this, we would like to keep you up to date with information about other Corn Exchange events and activities, including marketing and fundraising programmes. Please tick the boxes below to indicate that you are happy to receive information.

I'm happy to

Receive information by post

Receive information from Corn Exchange Newbury by email

Very occasionally hear from Corn Exchange Newbury by phone for offers that are based on my previous bookings

Receive information from other Arts Organisations

For full information about our T&Cs please visit https://www.cornexchangenew.com/legal

I was recommended the Corn Exchange Youth Theatre by:

First Name

Last Name

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