Join

Child’s Details

Full name

Age

Date of birth

Gender

Full address

Parent or Carer’s Details

Full name

Does the parent or carer live at the same address as the child (above)?

Yes

Mobile number

Home phone number (optional)

Work phone number (optional)

If a parent or carer isn’t available, please contact: (optional)

Are you happy for your child to make their own way to and from the youth theatre?

Yes

Does the child have any heath conditions, learning difficulties or is there any other important information regarding the childn we need to know about?

How did you find out about us?

Would you like to make a donation to our youth theatre?

Yes

If yes, how much (if known) and when and how should you be contacted regarding this?

Message (optional)

I confirm

My child is permitted to attend the youth theatre

My child may be filmed in relation to the youth theatre (optional)

My child may be photographed in relation to the youth theatre (optional)

I have read and accept the terms and conditions

I have read and accept the code of conduct

I have read and accept the anti-bullying policy

Registered/Trading Address

Blackpool Community Theatre CIC
Blackpool Enterprise Centre
291 – 305 Lytham Road
Blackpool
FY4 1EW

Phone Us

Tel: 0300 102 8420
Monday – Sunday
Lines Open: 9:00am – 8:30pm

Email Us

contact@bcyt.org.uk

Blackpool Community Youth Theatre is a trading name of Blackpool Community Theatre CIC and is regulated by The Office of the Regulator of Community Interest Companies and registered in the United Kingdom and Wales. 15488440

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