SHiELDS - OPEN DAY 2023
Please fill out the form carefully for registration - Upon completion, click 'Submit Application' at the bottom of the page. We will then notify you to let you know you have secured a space on our Open Day! Whoop!
Which Open Day are you attending in August?
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Sunday 13th August - South Shields, The Customs House
Sunday 20th August - Stratford Upon Avon - The Crown Plaza Hotel
Student Name
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First Name
Middle Name
Last Name
Age
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Birth Date
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How would you like us to refer to you?
*
Please Select
She/Her
He/Him
They/Them
I'd rather not say
Other
Ethnicity
Primary Address
*
Street Address
Street Address Line 2
City
County
Post Code
Student E-mail (If 16+ years old)
example@example.com
Mobile Number (If 16+ years old)
PHOTO: Please upload a head and shoulders photograph, so we can recognise you on the day!
*
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We are always on the lookout of new and raw talent, would you like to be considered to join SHiELDS Academy and Agency for our September 2023 intake?
*
Please Select
Yes
Undecided
No
Have you had any experience of screen acting or performing arts in general?
*
Contact Details for Parent/Guardian
(If under 18 years old)
Name of Parent/Guardian
*
First Name
Last Name
How would you like us to refer to you?
*
Please Select
She/Her
He/Him
They/Them
I'd rather not say
Other
Phone Number of Parent/Guardian
*
Please enter a valid mobile number.
Email of Parent/Guardian
*
example@example.com
Emergency Contact Information
Emergency Contact
*
First Name
Last Name
Emergency Contact Telephone Number
*
Please enter a valid mobile number.
What is your relationship to the student?
*
If there is anything else you feel we should know, please let us know in the box below so we can best support you on the day?
*
If you could share one word on how you feel about attending our Open Day, this would be...?
*
As we are also a Film and TV Academy, we may also take photographs and videos of the course which will be shared for our social media audience. If you are happy to be included in this, please select the option below:
*
Yes, I am happy to take part in filming and photographs for educational and social media purposes.
Submit Application
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