Roses Young Creatives Taster Form

Roses Young Creatives

Taster Form
Participant Name*

First NameLast Name
Pronouns*
Age of Participant*
What date would you like to book your taster for?*

DayMonthYear
After April 26th we wont be taking anymore tasters until September as we head into production period.
Does the participant have any medical conditions, access requirements or additional needs?*

YesNo
If yes, please tell us more
Emergency contact details*

First NameLast Name
Relationship to participant*
Address*

Street Address

Street Address Line 2

CityCounty

Postal Code
Phone Number*
##### ######
Email*
example@example.com
I consent to...*

The participant taking part in this programmeThe Roses keeping record of this form for health and safety purposesAny medical treatment that the participant may need to be given in an emergencyMy child being filmed or photographed during the programme, and such photographs or recordings being used for marketing and publicity with third party organisations
Signature*

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Date*

DayMonthYear
Date
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