Lowther Children's Theatre Workshop/Junior/Senior Youth Theatre Registration 2023

Children's Theatre Workshop (4-6 yr) Parent/Carer & Baby/Early Years (0-4 yr) Junior Youth Theatre (6-10 yr) and Senior Youth Theatre (11-16 yr) Registration.

This form should be filled out by a parent or carer. Please submit the form to be included in our groups. ALL GROUPS cost £5 per child place. Please pay at box office when you arrive (card/cash.) PARENT / CARER & BABY / EARLY YEARS session runs monthly, (usually on the last Thursday of the month, 10am-11.30am.) CHILDREN'S THEATRE WORKSHOP (4-6 yrs) is an introductory session with drama games and creative play on Mondays, 4pm-5.30pm. YOUTH THEATRE runs on Saturdays; Juniors (6-10 yrs) 9.30am–11am or 1.30pm-3.00pm and Seniors (11-16 yrs) 11am–1pm. Members are offered workshops in specialist skills and optional short projects during the holidays. All groups are run by Lowther Pavilion Theatre's Youth Theatre Director with input from specialist freelance artists.
Student Name

First NameMiddle NameLast Name
Birth Date

MonthDayYear
Pronoun

He/HimShe/HerThey/Them
Address

Street Address

Street Address Line 2

CityCounty

Postal Code
Name of Parent / Carer

First NameLast Name
Contact E-mail
example@example.com
Contact Telephone Number

Area CodePhone Number
Which group are you applying for?
Parent/Carer & Baby/Early Years is for 0-4 yrs with an adult. Children's Theatre Workshop is for 4-6 yrs. Junior Youth Theatre is for 6-10yrs. Senior Youth Theatre is for 11-18yrs.
Where Did You Hear About Lowther Pavilion Theatre's groups?
Please inform us of any medical, learning or other support needed and ensure that medication (if required) is with your child / in the session during events.
Photo/ Video Release Form - Images may be captured by video, photo and digital camera for the purposes of promotional materials and online, digital or print publication. I hereby give permission for images of the above-named child/ young person to be used for these purposes and waive any rights of compensation or ownership thereto. NB: If images are used, we will not use children's/ young people's names or addresses/data which identifies them any further.

I consentI do not consent
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Children's Theatre Workshop (4-6 yr) Parent/Carer & Baby/Early Years (0-4 yr) Junior Youth Theatre (6-10 yr) and Senior Youth Theatre (11-16 yr) Registration.