Adult Membership Form Summer show 25

Believes Membership Form

Anyone Over The Age Of 8
Full Name*

PrefixFirst NameMiddle NameLast Name
Name You Like To Be Known As
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date Of Birth*

MonthDayYear
Any Known Allergies
Including Non Performance Allergies e.g. Nuts
Medical Conditions
Including Any Health Conditions & Medication Treatments
Additional Needs
Including Any Disabilities Or Impairments, Learning Difficulties, Communication Difficulties Etc
Carer Info
Full Name Of Carer

PrefixFirst NameMiddle NameLast Name
Carer Mobile Number*
Carer Email*
example@example.com
Performance Fee's*

Show Fee's £50.00l
Payment Method*

CashCardBacs
For More Information, Please Visit Our Website www.magpieperformers.co.uk
PHOTOGRAPHY

As part of Magpie Performers, it will sometimes be necessary for members to be involved in photography and filming during rehearsals. Many of our shows will also be filmed and be available for members and friends to purchase. By becoming a member, you agree to Magpie Performers using these images for fundraising, publicity, or any other purpose to achieve the organisations aims. If you have any issues with us taking photos of you, please speak to a committee member before becoming a member.
Photo Permission
Type a question

Clear
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Believes Membership Form