The Walnuts Application Form
Please complete this form to sign up for DNTC's adult acting company; The Walnuts.
First Name *
Your answer
Surname *
Your answer
Address Line 1 *
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Address Line 2
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Address Line 3
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Town *
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County *
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Postcode *
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Telephone Number *
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Email Address *
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Preferred Method of Contact *
Date of Birth *
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Previous Experience *
Your answer
How did you hear about The Walnuts? *
Your answer
Are there any Wednesday evening rehearsals you cannot attend? *
If yes, please provide dates and details
Your answer
Do you suffer from any illness, allergy (including food allergies) or condition requiring medication? *
If yes, please provide details
Your answer
Do you take regular medication? *
If yes, please provide details
Your answer
Do you wear contact lenses? *
I give consent for photos/videos to be taken. *
Photos/videos may be used for promotional purposes and so, if used, will be going out in to the public domain
GP Name and Address *
Your answer
GP Phone Number *
Your answer
Additional Emergency Contact Name *
Your answer
Additional Emergency Contact Mobile Number *
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Additional Emergency Contact Home Telephone Number
Your answer
Can we add you to our Mailing List? *
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