Spring Awakening Membership Form

Spring Awakening Membership Form

Applicants Full Name/Members Full Name: (required)

Parent/Guardians Full Name (if under 18):

Applicant/Members DOB:(required)

Does you have any of the following? You can select multiple options.
AsthmaAny AllergiesAny Skin ConditionsHearing ImpairmentVisual ImpairmentAny Learning DisabilityAny Physical DisabilityAny Medical Conditions?Taking Any Regular Medication(s)?Been to see or had a referral to a hospital consultant in the last 6 months?

If Yes to any of the above please give details here, if No, please state No:

Your Signature

Please click to give permission to Bishops Stortford Academy of Performing Arts permission to take photographs and/or video.
YesNo

I grant Bishops Stortford Academy of Performing Arts full rights to use the images resulting from the photography/video filming, and any reproductions or adaptations of the images for fundraising, publicity or other purposes to help achieve the group’s aims. This might include (but is not limited to), the right to use them in their printed and online publicity, social media, press releases and funding applications.
YesNo

Print Todays Date (required)

Home Address (required)

Phone Number (required)

Email (required)

Next of Kin (required)

Next of Kin Telephone Number (required)

For the purposes of Rehearsal and Scheduling please let us know of known dates of being unavailable

Your Bio for inclusion in Show Programme & Promotion

How did you hear about us? (required)

Terms and Conditions

We want you to know how our service works and why and how we handle your data. Please state that you have read and agreed to these terms and conditions.

I Agree to the Membership Terms and Conditions Membership Terms and Conditions

Contact Permission
Occasionally we would like to send you newsletters and offers and the latest info from Bishops Stortford Academy of Performing Arts by Email, post, SMS and other electronic means. We take your privacy very seriously and will only use your personal information to administer your account and to provide the services you have requested from us. If you consent to us contacting you for this purpose please tick to say how you would like us to contact you.
PostEmailTelephoneSMS

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