Stratford East Junior Youth Theatre
Please complete this form.
Which project would you like to register your interest for? *
First name of young person *
Your answer
Last name of young person *
Your answer
Date of Birth *
Gender identification of young person *
Ethnicity of young person *
Mobile number of young person *
Your answer
Parent / Carer Details
We will contact you via these details regarding information such as term dates, payment etc.
Full Name *
Your answer
Relationship to the young person *
Your answer
Home address *
Your answer
Mobile number *
Your answer
Email Address *
Your answer
A full or partial bursary is available to cover the £60 term fee. Please contact for more information regarding this.
Does your young person identify as D/deaf and/or disabled? *
Is there anything your young person needs us to put in place to support them during the sessions? (such as large print scripts, printing on coloured paper, staff support, break out spaces, workshop plans in advance etc.) *
Your answer
Does your young person have any medical condition that we need to be aware of? (such as epilepsy, diabetes or allergies) *
Your answer
Photographic Permission
Stratford East may wish to take photographs or video footage for promotional purposes. Please sign below to grant us permission on behalf of your young person. (Leave blank if you do not want us to use their image). Email (typed) signature is acceptable.
Your answer
Can your young person leave on their own after sessions? *
Data Protection
The applicant acknowledges that Pioneer Theatres Ltd (trading as Stratford East) holds and processes personal data about them for all purposes linked to their application. Pioneer Theatres Ltd owns and operates Theatre Royal Stratford East (TRSE) and is a data controller and processor as defined in the General Data Protection Regulations.

The personal information you provide here will be strictly controlled and managed by TRSE and used only for the purposes of providing the services you have requested from us, for the safety and security of you and / or your dependents during the program and anonymized reporting to internal stakeholders and our funders.
Personal data may be kept electronically or in hard copy format. Personal data may be disclosed or transferred to other employees and to other persons as may be reasonably necessary for the purposes of, or in connection with, our business and as otherwise required or permitted by law.

Full details of Pioneer Theatres’ Privacy Policy can be found here:
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