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*

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.

Payment Details*

Please tick your preference for paying fees.

£435 for the year's fees (cheques made payable to Leeds Grand Theatre & Opera House Ltd)
In three instalments of £145 at the beginning of each term (by cash, cheque or card payment)

Cancellation Policy*

Cancellations must be confirmed in writing and sent to The Learning Team, at least two weeks prior to the start of the next term. If you cancel after this point you will be charged in full for the following term. We will refund any pre-paid course fees for each full term not attended. We do not refund mid-term or pro rata.

I have read and understood the Cancellation policy above.

Bursaries

A limited number of bursaries are available each year, upon application, considered on a case-by-case basis. If you would like more information or to be sent a bursary application form, please tick here.

Dropping Off and Collecting Information*

Please tick any relevant sections.

I will sign my child in with the Youth Theatre Directors or Learning Team on our arrival at the theatre and pick up my child from the same point promptly at the end of each session.
I am happy for my child to be dropped off and collected by another adult (please detail below).
I am happy for my child to make their own way to and from Leeds Grand Theatre and/or City Varieties Music Hall.
During longer rehearsals, I am happy for my child to leave and return to the theatre unaccompanied at break times.

Optional: other adult to drop off/collect your child

To give permission for your child to be dropped off and collected by another adult(s), please give their full name(s) here.

Important Medical Information

Please detail any allergies, medical conditions, access, or general learning or support needs we need to be aware of. Please note, our weekly rehearsals take place in a basement studio that is accessed via stairs (lift available). In the case of an emergency evacuation, if your young person is not able to use the stairs, please detail what support they would need (e.g. transfer to an evac chair; 1-1 support up the stairs).

Personal Support Record

The Personal Support Record is a space for parents/guardians to elaborate on details given in the ‘Important Medical Information’ section of the LGYT membership application form. If your young person has any additional support needs and/or medical conditions (physical, emotional, learning difficulties, behavioural problems), please tick here and we will send you our Personal Support Record form to provide more detail. The information you provide in the form will enable our staff (Learning Team, LGYT artistic leaders and volunteers) to provide adequate and appropriate support for your young person, inclusively and comprehensively, generally and in the case of emergency, and ensure that they engage in sessions safely.

Yes, please send me the Personal Support Record form.

First Aid*

In the event of an accident, do you give permission for a trained member of staff to administer First Aid?

Data Protection*

Information in this form is stored securely, 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. A paper copy of emergency contact details is accessible to Learning staff during sessions and locked away at other times.

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.

Youth Theatre Online Application

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Youth Theatre Application