OTMYT Seniors Application Form

1

Child's Name* This field is required.

First Name(s)

Last Name

2

Child's Date of Birth* This field is required.Auditionees must be aged between 10 - 19 on 25th April 2020

3

Child's Address* This field is required.Child's permanent address

Street Address

Street Address Line 2

Town/City

County

Post Code

Country

4

Medical Consent* This field is required.Do you give consent for OTMYT to seek medical advice and/or treatment for your child, in an emergency?

YESNO

5

Medical/Special Educational NeedsPlease give details of any medical conditions or Special Educational Needs your child has; the information will be treated in the strictest confidence and will not affect the outcome of auditions.

6

Parent/Guardian Details* This field is required.Please answer these questions about yourself

First name

Last name

Email address (this will be our main point of contact with you ongoing, so it should be an address that you check regularly)

Home telephone number

Mobile or alternative telephone number

7

Parent/Guardian Details* This field is required.Please answer these questions about yourself

Street Address

Street Address Line 2

Town/City

County

Post Code

Country

8

Alternative Emergency Contact* This field is required.Please type the name AND contact number for an alternative emergency contact

9

How did you hear about OTMYT Seniors?This information will really help us. (If more than one is true, please select the most appropriate)

If you selected 'Other' above, please give details here

10

Audition Availability* This field is required.The following audition times are available. Let us know when the student is available by clicking 'Yes' or 'No' to the options. Please say 'Yes' to as many as possible to give us maximum flexibility with scheduling.

11

Policy Acceptance* This field is required.It is important that you have read and accepted the two following policies. If you haven't, please return to our website (www.otmyt.co.uk) and read them before continuing.

Yes, I have read it and accept it.

OTMYT Seniors Auditions, Attendance & Membership Policies

OTMYT Seniors Drop-off/Pick Up, Food & Drink and SEN/Medical Needs Policies

OTMYT Seniors Auditions, Attendance & Membership Policies

OTMYT Seniors Drop-off/Pick Up, Food & Drink and SEN/Medical Needs Policies

Yes, I have read it and accept it.

12

Signature* This field is required.Please sign in this box, using your mouse/finger. You are declaring that the information on this application form is correct to the best of your knowledge and that you have read and accepted the policies mentioned on the previous screen.

13

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