OTMYT Juniors Application Form

1

Child's Name* This field is required.

First Name(s)

Last Name

2

Child's Pronouns* This field is required.

He / Him / His

She / Her / Her

They / Them / Their

Other

3

Child's Date of Birth* This field is required.Auditionees must be aged between 6 - 9 on the first day of the term in which they start with us.

Date

4

Child's Address* This field is required.Child's permanent address

Street Address

Street Address Line 2

Town/City

County

Post Code

Country

5

Medical Consent* This field is required.Do you give consent for OTMYT to seek medical advice and/or treatment for your child, in an emergency?

YESNO

6

Medical/Special Educational NeedsPlease give details of any medical conditions or Special Educational Needs your child has; the information will be treated in the strictest confidence and will not affect the offer of a place.

7

Parent/Guardian Details* This field is required.Please answer these questions about yourself

First Name

Last Name

Email Address (this will be our main point of contact with you ongoing, so it should be an address that you check regularly)

Best Phone Number

8

Parent/Guardian Details* This field is required.Please answer these questions about yourself

Street Address

Street Address Line 2

Town/City

County

Post Code

Country

9

Alternative Emergency Contact* This field is required.Please provide details for an alternative emergency contact

First Name

Last Name

Email Address

Best Phone Number

10

Term Choice* This field is required.Your child can either start immediately, this term, or at the beginning of next term. Please see our website for full details of term dates. Please indicate your preference below. IMPORTANT NOTE - If we are currently in the final four weeks of any given term, then the next available start date is the beginning of next term.

Begin immediately this term.

Reserve a place to start next term.

11

Session Choice* This field is required.We offer three Saturday sessions for OTMYT Juniors. Please indicate your preference below.

9:00am ONLY

10:45am ONLY

EITHER session is fine for my child.

12

How did you hear about OTMYT Juniors?This information will really help us. (If more than one is true, please select the most appropriate)

If you selected 'Other' above, please give details here

13

Policy Acceptance* This field is required.It is important that you have read and accepted the two following policies. If you haven't, please return to our website (www.otmyt.co.uk) and read them before continuing.

Yes, I have read it and accept it.

OTMYT Juniors Attendance & Membership Policies

OTMYT Juniors Drop-off/Pick Up, Food & Drink and SEN/Medical Needs Policies

OTMYT Juniors Attendance & Membership Policies

OTMYT Juniors Drop-off/Pick Up, Food & Drink and SEN/Medical Needs Policies

Yes, I have read it and accept it.

15

Signature* This field is required.Please sign in this box, using your mouse/finger. You are declaring that the information on this application form is correct to the best of your knowledge and that you have read and accepted the policies mentioned on the previous screen.