Marylebone Youth Theatre Application Form
Marylebone Youth Theatre is open to children and young people aged 6-16.
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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 name: *
Your child’s date of birth: *
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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? *
Which workshops are you applying for? *
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:
*
Is your child allowed to make their own way home from Marylebone Theatre? *
I understand that ticking this box acts as a signature of consent for my child to attend Marylebone Youth Theatre:
*
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