Surrey Showcase Artist Registration Form
If you require this form in another format, please contact us: annabelle.nomads@gmail.com 
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Full Name *
Artist name(s) *
If different from Full Name
Artist age(s)
If under 18
Email address *
Best contact phone number *
Village / Town *
Postcode *
Are you a member of The Nomads or Nomes? *
Our current membership year ends on 31st May 2018 - don't forget to renew! http://www.nomadtheatre.com/nomad-theatre-surrey/get-involved/
Please select performance type *
Choose all that apply
Required
In this space, please provide a description of your act and intended performance (including age appropriateness and, if "group" is chosen, the number of people involved) *
(if Speech/Drama, please provide author name and any license information) (A fee of £3 will be collected each performer wishing to use another artists backing track to accompany their piece(s))
In this space, please provide an estimation of floor area size you would require: *
In this space, please provide details of any technical support you would require - we will provide lighting and sound support (inc backing track playback), but not all equipment *
(Performers intending to use electrical equipment at the event must ensure that it has undergone Portable Appliance Testing (PAT) and will be required to prove compliance)
Website / Social media links *
Do you have any video or audio of previous performances? If so, add details/links here:
Does this performance involve children under 18 or vulnerable adults? *
If yes, the performance does include children under 18 or vulnerable adults, please provide further details here:
(Private teachers/leaders entering under 18 should distribute a copy of the Safeguarding Policy available on http://www.nomadtheatre.com/nomad-theatre-surrey/about-us/safeguarding-and-child-protection-policy-the-nomads/ to parents or guardians):
Brooklands Radio will be broadcasting live and post-event audio/video - please confirm you are happy to be included in this? *
Required
We would like to retain your email address to contact you about future events - please tell us what you're interested in hearing about?
Yes
I am happy for The Nomads to email me
I am happy for Brooklands Radio to email me
The Nomads and Brooklands Radio care about your privacy and promise not to share your details with any third parties. Please check this box to confirm you've read and agree to our privacy policy? (link below) *
Required
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