Take Part: Youth Theatre Online Application: Leeds Heritage Theatres

Young Person's Name*
First Last
Age*
Please enter a number less than or equal to 17.
Date of Birth*
DD slash MM slash YYYY
Home Address and Postcode*
Name of School/College*
School/College Year Group*
Young Person's Email (if applicable)
We will communicate updates with you about LGYT sessions via email. If you would like us to send updates to your young person's email address as well, please detail their email address here.
Parent/Guardian's Name*
First Last
Parent/Guardian's Relationship to Young Person*
Parent/Guardian Emergency Telephone Number*
Parent/Guardian's Email*
Optional second email address for other parent/guardian
We will communicate updates with you about LGYT sessions via email. If you would like us to send updates to more than one email, please detail the other email address(es) here.
Free places & Financial support
- A limited number of free places are available each year, upon application, considered on a case-by-case basis. If you would like more information or to be sent a free place application form, please tick here.
Important Medical Information
Please detail any allergy information or details of medical conditions, access or general learning or support needs which we need to be aware of
Monitoring Information - Young Person's Ethnic Background*
We ask for the following information so we can report back to funders and measure whether our projects are inclusive and accessible to all young people in Leeds. You reserve the right not to answer all questions.
- White: British
- White: Irish
- White: Gypsy/Irish Traveller
- Any Other White Background
- Asian/Asian British: Indian
- Asian/Asian British: Pakistani
- Asian/Asian British: Bangladeshi
- Asian/Asian British: Chinese
- Any Other Asian Background
- Arab
- Black/Black British: African
- Black/Black British: Caribbean
- Any Other Black Background
- Mixed: White & Black/Black British
- Mixed: White & Asian
- Other Mixed/Multiple Background
- Any Other Ethnic Group
- Prefer not to say
Monitoring Information - Young Person's Disability Status*
We ask for the following information so we can report back to funders and measure whether our projects are inclusive and accessible to all young people in Leeds. You reserve the right not to answer all questions.
- Not Disabled
- Visual Impairment/Blind
- Physical Impairment
- Invisible Disabilities
- Hearing Impairment/Deaf
- Mental Health Condition
- Cognitive/Learning Disabilities
- Other Long-term Chronic Conditions
- Any Other Disability
- Prefer not to say
Data Protection*
Information in this form is stored securely on our waiting list, accessible only to the Learning Team for the duration of the project, to enable participants to engage safely and for staff to contact parents/carers as required.
- I have read and understood the Data Protection policy above.
Parent/Guardian Consent and Declaration*
- Select All
- I am happy for my child to take part in the Youth Theatre classes and associated sessions.
- I am happy to be contacted about other Learning / Creative Activities for young people offered by Leeds Grand Theatre, City Varieties Music Hall and Hyde Park Picture House.
- I am happy for LGT&OH Ltd to use photos, moving image and sound recordings of my child in press, publicity materials, learning resources, reports and online. (Images are stored securely with this signed page for up to 5 years, then archived).
- I am happy for the LGYT Artistic Director to use photos, moving image and sound recordings of my child in associated social media posts to widen the promotion of the youth theatre and on www.lizipatch.co.uk to illustrate the quality of the Artistic Director’s freelance work.
- Please tick if you would like us to send you opportunities from other organisations, such as auditions or workshops. We will not share your data but can forward opportunities to you.
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Youth Theatre Online Application

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Youth Theatre Application