SHiELDS Open Day 2023

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!
Sunday 13th August - South Shields, The Customs HouseSunday 20th August - Stratford Upon Avon - The Crown Plaza Hotel
Student Name*

First NameMiddle NameLast Name
Age*
Birth Date*

MonthDayYear
How would you like us to refer to you?*
Ethnicity
Primary Address*

Street Address

Street Address Line 2

CityCounty

Post Code
Student E-mail (If 16+ years old)
example@example.com
Mobile Number (If 16+ years old)
Format: (07) 000-000-000.
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?*
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 NameLast Name
How would you like us to refer to you?*
Phone Number of Parent/Guardian*
Please enter a valid mobile number.Format: (07) 000-000-000.
Email of Parent/Guardian*
example@example.com
Emergency Contact Information
Emergency Contact*

First NameLast Name
Emergency Contact Telephone Number*
Please enter a valid mobile number.Format: (07) 000-000-000.
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...?*
Yes, I am happy to take part in filming and photographs for educational and social media purposes.
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SHiELDS - OPEN DAY 2023

Contact Details for Parent/Guardian

Emergency Contact Information