Roses Young Creatives
Taster Form
Participant Name
*
First Name
Last Name
Pronouns
*
Please Select
She/Her
He/Him
They/Them
Age of Participant
*
What date would you like to book your taster for?
*
-
Day
-
Month
Year
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?
*
Yes
No
If yes, please tell us more
Emergency contact details
*
First Name
Last Name
Relationship to participant
*
Please Select
Mother
Father
Grandparent
Legal Guardian
Other
Address
*
Street Address
Street Address Line 2
City
County
Postal Code
Phone Number
*
##### ######
Email
*
example@example.com
I consent to...
*
The participant taking part in this programme
The Roses keeping record of this form for health and safety purposes
Any medical treatment that the participant may need to be given in an emergency
My 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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