CHAMELEON YOUTH 2020-21
AUDITION APPLICATION FORM
Email address *
FULL NAME *
DATE OF BIRTH *
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AGE AT TIME OF AUDITION *
HOME ADDRESS *
POSTCODE *
CONTACT NUMBER *
CONTACT EMAIL *
NAME OF SCHOOL / COLLEGE / UNIVERSITY *
EMERGENCY CONTACT NAME *
EMERGENCY CONTACT NUMBER *
EMERGENCY CONTACT EMAIL *
Does the participant have any medical conditions, disabilities or additional needs? *
If you have answered YES please provide further details
ETHNIC ORIGIN *
TELL US ABOUT YOUR PREVIOUS DANCE / MOVEMENT EXPERIENCE *
WHY WOULD YOU LIKE TO AUDITION FOR CHAMELEON YOUTH? *
HOW DID YOU HEAR ABOUT CHAMELEON YOUTH *
ADDITIONAL NOTES (Is there anything else you would like to inform us of?)
DECLARATION - I give permission for this young person to take part in this audition. I will inform Company Chameleon of any changes to the above information. (To be completed by parent / carer if young person is under 18) *
Name of parent / carer (if young person is under 18) or the applicant giving declaration *
DATE OF DECLARATION *
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DD
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A copy of your responses will be emailed to the address you provided.
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