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Application Form
Please complete and return to Little Actors at
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Child's name *
Address with post code *
Date of birth and age? *
Medical information - please provide relevant information should LATC need to provide assistance? *
Does your child require any medication? *
Does your child have any allergies?
Email *
Phone number *
Parent/Guardian's name/s *
Emergency contact number *
Which workshop are you interested in *
I confirm that my child has permission to join the LATC Theatre Club and accept the Terms and Conditions. I also give permission for photographs/videos to be taken by staff of me and/or my child taking part in activities and productions etc., to be used within the setting and in LATC documentation, i.e., information booklets, press releases, and NT Connections and Little Actors Theatre web pages. Images can be used in perpetuity for said provisions unless I give written notice otherwise. In the event of any incident, I give consent for a member of staff to provide emergency medical assistance for me and/or my child and to call for medical assistance from trained professionals e.g. paramedics, doctors, nurses etc. I confirm Little Actors has permission to store my data for the purposes of communicating about their activities. *
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