Marylebone Youth Theatre Application Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Marylebone Youth Theatre is open to children and young people aged 6-16.

This form must be completed by a parent or carer of the child who is applying. A form will need to be completed for each child applying so siblings cannot share one form. If there are no places available on receipt of your application, your child will be added to the waiting list and you will be notified when a place does become available.

If you have any queries or concerns, please contact Lucy Clark (Youth Theatre Director)

lucy@marylebonetheatre.com

07547153550

Your child’s full name: *

Your child’s date of birth: *

YYYY

Name of school currently attending: *

Marylebone Youth Theatre offers Saturday classes during each school term

Junior group runs 9am-11am

Senior group runs 11.30am-2pm

We also offer school holiday classes which are Monday-Friday (excluding bank holidays) during certain weeks of the school holidays. These days run 9am-4pm

Which group are you applying for? *

Junior (ages 6-10)

Senior (ages 11-16)

Which workshops are you applying for? *

Saturday term time workshops

School holiday workshops

Required

Parent/Carer name: *

Parent/carer email address (this is the main way we will communicate):
*

Address and postcode: *

Emergency contact number 1: *

Please include the name, contact number and their relationship to the child.

Emergency contact number 2: *

Please include the name, contact number and their relationship to the child.

Please tell us about any allergies/medical conditions your child may have (include medication information if necessary):
*

Please tell us about any learning requirements your child may have:
*

Occasionally Marylebone Theatre may take photos or film footage of weekly sessions or performances to use for publicity. Please indicate whether we have permission to use images and/or film footage of your child in this way:
*

Yes

Is your child allowed to make their own way home from Marylebone Theatre? *

Yes

Marylebone Youth Theatre is proud to offer a limited number of free to attend bursary spaces to children from low income families. Are you applying for a bursary space?

Yes

Clear selection

I understand that ticking this box acts as a signature of consent for my child to attend Marylebone Youth Theatre:
*

I understand and give consent

Required

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Forms