Tolethorpe Youth Drama — TMWorkshops-consent-parents

THEATRE MAKERS WORKSHOPS

Thank you for signing up for the series of Theatre Makers Monday Workshops.

We ask you to complete this form for your child/ren if they are under 18 years of age. If there are siblings attending you need only complete one form for both.

Please ensure you read all the statements carefully, click the check boxes and fill in all the information fields before submitting this form. Fields marked with an asterisk are compulsory fields.

Please note, by submitting this form you are confirming you have read our Terms & Conditions and latest Risk Assessment.

MEMBER'S NAME IN FULL

First Name

Last Name

Date of birth

Age

SECOND PARTICIPANT'S NAME

(Please note, this field is for a sibling only)

First Name

Last Name

Date of birth

(Sibling participant only)

Age

(Sibling participant only)

Please let us know your child/ren's pronoun(s)

For example, he/she/they

I understand that Tolethorpe Hall is not on a public transport route and, as such, I agree to make the necessary and safe transport arrangements to and from the workshops for my child/ren.

YES, I AGREE

I give consent for my child/ren named above to be photographed, videoed and named for publicity purposes by Tolethorpe Youth Drama and Stamford Shakespeare Company.

YES, I CONSENT

I do not give consent for the person stated above to be photographed, videoed and named for publicity purposes by Tolethorpe Youth Drama and Stamford Shakespeare Company.

NO, I DO NOT GIVE CONSENT

CONTACT DETAILS

MEMBER'S EMAIL ADDRESS

WE WILL ONLY EVER EMAIL FROM OUR TYD EMAIL ADDRESS REGARDING MATTERS RELATING TO THEATRE MAKERS. HOWEVER, IF YOU PREFER TO BE COPIED IN ON ALL CORRESPONDENCE PLEASE WRITE THE WORD 'COPY' NEXT TO THE EMAIL ADDRESS IN THIS FIELD.

MEMBER'S PHONE NUMBER

WE WILL ONLY EVER PHONE/TEXT/MESSAGE MEMBERS ABOUT MATTERS CONCERNING THEATRE MAKERS. IF YOU WOULD LIKE TO BE COPIED IN TO ALL CORRESPONDENCE, INCLUDING TEXT MESSAGES, WITH YOUR SON/DAUGHTER, PLEASE INDICATE BELOW.

We will be using our WhatsApp group for all participants of the workshops to be kept up-to-date on matters and events relating to Theatre Makers. This will be the most regular form of correspondence we will use with our participants. If you wish to be added to this group, please indicate below.

YES, I WISH TO BE ADDED TO THE TM WHATSAPP GROUP

NO, I DO NOT WISH TO BE INCLUDED IN THE TM WHATSAPP GROUP

PARENT/GUARDIAN NAME

First Name

Last Name

PARENT/GUARDIAN EMAIL

PARENT/GUARDIAN PHONE NUMBER

CONTACT NAME AND NUMBER IN THE CASE OF AN EMERGENCY

YOU MIGHT WANT TO PROVIDE A DIFFERENT NUMBER TO YOURS IN CASE YOU ARE NOT AVAILABLE SHOULD AN EMERGENCY ARISE.

EMERGENCY CONTACT'S NAME

First Name

Last Name

EMERGENCY CONTACT'S PHONE NUMBER

Medical or Learning Needs (Please specify if the new member has any specific medical or learning needs that we need to be aware of. If none, please say none, not applicable, N/A etc.)

I agree if my circumstances change I will notify TYD Theatre Makers

YES, I AGREE