Chitty auditions
Seniors age 13-18
Name of child:
First Name
Last Name
Email:
example@example.com
Date of birth:
Address:
Emergency contact name:
First Name
Last Name
Emergency contact no:
Any medical conditions/allergies we should know about?
Are you happy for Junkyard to use photographs/videos for social media/advertising purposes?
Yes
No
Please list any Friday evenings/Sunday mornings 5th September - 16 November you would be unavailable for.
Submit
Should be Empty: