Workshop Registration: 9 Nov- 18 Dec 2020
PHYSICAL WORKSHOPS take place on Zoom this term.
DIGITAL WORKSHOPS take place on Zoom

COST
£40 for this 6 week workshop strand, £15 for every additional workshop strand
Full and Partial Grants are available on application
While we respond to shifting Covid guidelines and venues, term lengths and costs alter accordingly

-Places are offered on a first come, first served basis
-We are following Public Health England and the National Youth Association guidelines
-If you successfully audition for our February 2021 production, you will rehearse Wednesdays 6:45-8:15pm
-You will then be given the option to make Rehearsals your only workshop strand
Please choose a Physical Workshop *
Required
Please choose any Digital Workshops
PRIME YOUTH THEATRE MEMBER DETAILS
We use this information to support members' individuality and share it anonymously with our supporter, Arts Council England
Full Name *
Any preferred or shortened name
Date of Birth *
Name of School/College/Home Education Basis
Year Group
Gender *
If you'd like us to know anything else about the member's gender, please tell us here...
Ethnicity e.g. Mixed Heritage, Black British, Pakistani, English & Polish, White Irish etc...
Postcode
Full Home Address *
Prime Youth Theatre Member's email address (if any)
Prime Youth Theatre Member's mobile number (if any)
Any medical or access details e.g. Allergies, Dyslexia, Wheelchair user etc...
Any other social/support needs e.g. Learning Statements, Lacks Confidence, Slow to Make Friends...
Any special custody/residential circumstances e.g. Lives with Grandparents, Looked After Child...
EMERGENCY DETAILS & PERMISSIONS
This sections tells us who to contact and how best to keep Prime Youth Theatre members safe. Thanks for helping us to keep all of this information up to date.
Did you provide these details for Physical Workshops starting October 2020? *
Do you give permission for this Prime Youth Theatre Member to be recorded in photos or films? *
PHYSICAL ACTIVITY: Do you give permission for this Prime Youth Theatre Member to travel to and from workshops without supervision? *
If "No", please let us know of any exceptional circumstances we should be aware of *
EMERGENCY CONTACTS
In event of emergency, Prime Theatre will take reasonable actions to keep members safe, these including calling an ambulance.
1st Emergency Contact Name (Often the adult completing this form)
1st Emergency Contact's Relationship to the PYT Member *
1st Emergency Contacts email address *
1st Emergency Contact's mobile number *
1st Emergency Contact's second number (Please say if this is a home or work phone) *
2nd Emergency Contact Name *
2nd Emergency Contact's Relationship to the PYT Member *
2nd Emergency Contact's phone number *
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy