Man Made Youth Company - Registration Form

Man Made Youth Company - Registration Form
Man Made Youth Company is a FREE artistic programme for young men aged 11+ which includes dance and physical theatre workshops, creating indoor and outdoor work, as well as exploring digital programmes and screen dance.

This free opportunity is open to young male-identifying participants of all abilities from Birmingham and the West Midlands who are interested in joining our company on Thursday during school term time at Mac Birmingham.

5.30-6.30pm - Ages 11-14

6.30-7.30pm - Ages 15-21

Dates: (Every Thursday)

20th April – Foyle Studio (NB – Later start time at 6.15pm)
27th April – Foyle Studio
4th May – Foyle Studio (NB – Later start time at 6pm)
11th May – Foyle Studio
25th May – Foyle Studio

(HALF TERM)

8th June - Foyle Studio (NB – Later start time at 6pm)
22nd June – Foyle Studio
29th June - Foyle Studio (NB – Later start time at 6pm)
6th July - Foyle Studio (NB – Later start time at 6pm)
13th July - Foyle Studio (NB – Later start time at 6pm)

Important notes:
- Let us know of any access requirements in advance by emailing hello@autindt.co.uk
- Wear comfortable or loose-fitting clothing.
- You can make it easier to focus during the day by turning off notifications or muting your smartphone.
- To keep hydrated, please bring a water bottle with you. There will be facilities on-site to refill. Please bring snacks and a packed lunch.
Contact for more information:

Email: hello@autindt.co.uk
Full Name*

First NameLast Name
Email Address*
Date of birth *
DD/MM/YYYYY
Age*
Ethnicity*

Prefer Not to SayEnglish/Welsh/Scottish/Northern Irish/BritishIrishGypsy or Irish TravellerAny Other White BackgroundWhite and Black CaribbeanWhite and Black AfricanWhite and AsianAny Other Mixed/Multiple Ethnic BackgroundIndianPakistaniBangladeshiChineseAny Other Asian BackgroundAfricanCaribbeanAny Other Black/African/Caribbean BackgroundArabAfro CaribbeanAny Other Ethnic Group
Disability*

Prefer Not to SayNon-disabledVisual ImpairmentHearing Impairment/DeafPhysical DisabilitiesCognitive or Learning DisabilitiesMental Health ConditionOther Long Term/Chronic Condition
Address*
Postcode*
Mobile Number *

Area CodePhone Number
Social Media
What's your IG, FB or twitter handle? e.g. @manmadeyouth
Gender *
Male / Transgender Male / Non-Conforming / Other / Prefer Not to Say
Emergency Contact *
Name, address and telephone number
Please give brief details of your artistic interests and of any previous performance experience (if applicable) *
Would you like to stay up to date about Man Made Youth Company news and events? *

YesNo
What's your T-Shirt size?*
Where did you hear about Man Made Youth Company? *
I can confirm that I am 16 years or over, or I am 11 years of age, and have sought permission from a parent/guardian to register. I understand that this information is strictly confidential, and will be used for Man Made Youth Company's communication purposes only. *
For more details and information, please contact: hello@autindt.co.uk
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