Auditions 2014

Postal Booking Form / AUDITION FEE = £35

Please fill in your details below with as much detail as possible, Please make sure you fill in both sides. For a full list of YMT audition dates please visit our website www.youthmusictheatreuk.org

City
Date
Session Time
Young Person / First name / Last name / DOB / d / d / m / m / y / y
Email address (this will receive booking confirmation) / Gender / Male ¨ Female ¨
Home Phone / Mobile
Address / Post Code
Country
Parent Carer Name
Parent Carer Email
Emergency contact number
Name & Town of School
Local Education Authority
What type of school do you go to?
(Just select one) / / State School
/ State-maintained specialist music school/performing arts college
/ Independent School
/ Independent Music School (e.g. Chetham's, Purcell, Wells Cathedral)
/ Home Educated
Do you receive a scholarship or bursary for your full time education? / ¨ Yes
¨ No
Do you receive private music tuition
(Can tick more than one) / / Yes
/ No
Have you been involved with any of the following organisations? / / South Asian Music Youth Orchestra / Music for Youth ¨
/ National Youth Choirs of Great Britain / National Youth Orchestra of Great Britain ¨
/ National Youth Jazz collective / National Children’s Orchestra of Great Britain ¨
/ National Youth Brass band of Great Britain / None ¨
How did you find out about YMT’s auditions: (tick all that apply)
¨ Picked up a YMT Leaflet
¨ Letter/Leaflet posted by YMT
¨ Email from YMT
¨ YMT Website
¨ Facebook
¨ Advert in a magazine/newspaper / ¨ Radio/TV
¨ School Music Teacher
¨ School Drama Teacher
¨ Word of mouth
¨ Local Theatre/Venue
¨ Search engine e.g. Google / Please give any additional details:
Do you have any special needs or access needs? (e.g. asthma, wheelchair user)
How would you describe your ethnic origin? (please tick one)
¨ White British
¨ White Irish
¨ Other white background
¨ Mixed – White & Black Caribbean
¨ Mixed – White & Black African
¨ Mixed – White & Asian / ¨ Other mixed background
¨ Indian
¨ Pakistani
¨ Bangladeshi
¨ Other Asian background
¨ Black Caribbean / ¨ Black African
¨ Other black background
¨ Chinese
¨ Other ethnic group

CARD PAYMENT DETAILS

Name on card
Card number
Card Type no AMEX / Visa / Visa Debit / Mastercard / Maestro / Solo / Electron
Expiry date
Valid from date
Security Code
Issue no. (Maestro)
House number
Post code

Please Note

·  Upon receipt of your application we will process your booking within two weeks.

·  Once your booking has been confirmed you will receive an email with more details and what you will need to do next.

Office Use only

ID Number:

Operations:

Finance: