OTMYT Seniors Application Form - Summer Holiday Workshops

1
Child's Name* This field is required.
First Name(s)
Last Name
2
Has your child attended a previous OTMYT workshop, or been an OTMYT member before?* This field is required.
YESNO
3
Child's Date of Birth* This field is required.Children must be aged between 10 and 19 when the workshop starts.
4
Child's Address* This field is required.Child's permanent address
Street Address
Street Address Line 2
Town/City
County
Post Code
Please Select
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
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; this 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)
Home telephone number
Mobile or alternative telephone number
8
Parent/Guardian DetailsOnly answer if your address is different to the child's address. Otherwise, skip this section.
Street Address
Street Address Line 2
Town/City
County
Post Code
Please Select
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
9
Alternative Emergency Contact* This field is required.Who can we contact about your child, in an emergency, if you're not available?
First name
Last name
Home telephone number
Mobile or alternative telephone number
10
How did you hear about OTMYT Seniors Musical Theatre Workshops?This information will really help us. (If more than one is true, please select the most appropriate)
Already an OTMYT member
Facebook
Twitter
Instagram
Printed Flyer
OTMYT Website
Christleton High School
Newspaper Advert
From a Current Student/Staff Member
Other (please give details below)
If you selected 'Other' above, please give details here
11
Which Summer Holiday Workshop(s) do you want to apply for?* This field is required.You can choose multiple workshops.
Mon 2nd - Fri 6th August 2021
Mon 16th - Fri 20th August 2021
12
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 (https://otmyt.co.uk/summer-holiday-workshops) and read them before continuing.
Yes, I have read it and accept it.
OTMYT Seniors Summer Holiday Workshops Terms & Conditions
OTMYT Seniors Drop-off/Pick Up, Food & Drink and SEN/Medical Needs Policies
OTMYT Seniors Summer Holiday Workshops Terms & Conditions
OTMYT Seniors Drop-off/Pick Up, Food & Drink and SEN/Medical Needs Policies
Yes, I have read it and accept it.
Yes, I have read it and accept it.
1 of 2
13
Photo Permission* This field is required.May we include your child in photographs of the workshops which may appear on our website and social media accounts? No names will be used.
YESNO
14
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.
15
PaymentChoose the appropriate fees for the child you are signing up. If you're signing up multiple children, you will need to complete this form again.
prevnext( X )
My Basket
0
My Basket
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
ORDER SUMMARY
Total costGBP
Workshop Fee Week 1 - Full FeeThis is the non-discounted fee for the workshop from 2nd - 6th August 2021.
£120.00GBP+Remove
Back
Workshop Fee Week 1 - Sibling FeeThis is the discounted fee, for second and subsequent siblings, for the workshop from 2nd - 6th August 2021.
£90.00GBP+Remove
Back
Workshop Fee Week 2 - Full FeeThis is the non-discounted fee for the workshop from 16th - 20th August 2021.
£120.00GBP+Remove
Back
Workshop Fee Week 2 - Sibling FeeThis is the discounted fee, for second and subsequent siblings, for the workshop from 16th - 20th August 2021.
£90.00GBP+Remove
Back
Total cost £0.00GBP
Payment Card Details
First Name
Last Name
Credit Card Number
Security Code
Expiration Date
Postal Code
16
Invoice ID
Should be Empty:

Save your progress

Save your progress

Your form submission has been saved as a draft.

Save your progress

Your form submission has been saved as a draft.