Young Company Form

Welcome to Miracle Young Company

We’re really glad you’d like to join us. Please fill in the details below so we can get to know you and make sure we can support you properly. If you’d like any help completing this form, just get in touch.
Today's Date*

DayMonthYear
Name*
Email*
example@example.com
Date of birth*

DayMonthYear
Postcode*
How would you describe your gender?*

FemaleMaleNon-binaryOtherPrefer not to say
If you are aged 18 years and below, please give contact details for your parent/carer in this section.
Name of parent/carer
Phone Number of parent/carer
Please enter a valid phone number.
Email of parent/carer
example@example.com
Relationship to you
Tell us about your current place of learning.
(This could be a school, college, university, home education, training provider, or another setting where you are learning.)
Name of school, college, university, home education group, or other place of learning
Tell us a bit about you!

You can answer the questions below in writing, or if you’d prefer, you can upload a short video instead - whichever feels more you!
1) What makes you tick? What do you enjoy doing?
2) Do you have any theatre experience? (It’s totally fine if you don’t!)
3) What are you most interested in exploring with Miracle Young Company?

PerformingWritingMusicDesignTechDirectingOther
If you’d rather record your answers as a video, please upload your file here.

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Do you have any additional needs or access requirements we should know about?*
Do you have any medical conditions, allergies, or anything else we should be aware of to help keep you safe and comfortable?*
Which of these best describes your background?*

WhiteCornishEnglishWelshScottishNorthern IrishIrishGypsy or Irish TravellerRomaMixed or Multiple Ethnic GroupsWhite and Black CaribbeanWhite and Black AfricanWhite and AsianAsian or Asian BritishIndianPakistaniBangladeshiChineseBlack, Black British, Caribbean or AfricanArabPrefer not to sayOther
How would you like to pay*

Pay as you go - £6/session (11 x sessions)Pay upfront - £55 (11 x sessions)FREE (we have some FREE places available for those that need them, please click this option if you require one of those)
How did you hear about Miracle Young Company?
Any other comments?
Would you like to be on our mailing list? By ticking the box below you agree that your email address can be used to provide more information to you about Miracle. (You can unsubscribe at any time).

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Welcome to Miracle Young Company