HOME FOR CHRISTMAS FORM

HOME FOR CHRISTMAS FORM
Home for Christmas - Young Guest Performer Application

Moat Theatre, Naas · 19 December 2026
Performer's Name

First NameLast Name
Date of Birth

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Town / area in County Kildare
School (optional)
Parent / Guardian's Name:

First NameLast Name
Email
example@example.com
Phone Number

Area CodePhone Number
Relationship to performer:
Your audition video

Please include a short introduction followed by your song. Maximum three minutes in total.
Please upload your video on youtube (You have to have a free youtube account to be able to do this.)

Please make sure that when you are uploading the video you select "UNLISTED" (Not "Private")
PLEASE COPY AND PASTE THE LINK TO YOUR VIDEO HERE :
I confirm that I am the parent or legal guardian and give permission for my child to enter.
I confirm that my child wishes to participate and is available on 19 December 2026.
I confirm that an adult / guardian will be able to accompany and supervise my child at the event on 19th December
Signature
Should be Empty:

Home for Christmas - Young Guest Performer Application