Children in Entertainment

The Children (Performances and Activities) (England) Regulations 2014

Children & Young Persons Act 1963

I believe that the following child (or children named on the schedule attached), who will be performing and live in Nottinghamshire

(child’s name and date of birth) ……………………………………………………………………………………………………………

in (name of prod) ………………………………………………………………………………………………………..

at (venue including address) ………………………………………………………………………………………………………………..

on (dates and times please add times of the performance and call and finish times at the place of performance) ………………………………………………………………………………………………………………..

are,in accordance with Section 37 (3) (a) of the Children & Young Persons Act 1963 exempt from the need to have a performance licence as defined in Section 37 (2) of the said Act and I make the following declaration:

That I have reasonable grounds for believing that by taking part the child will not have performed on more than 4 days in a 6 month period.

That I understand it is a legal requirement to seek a licence where one is required and any person who causes or procures any child to do anything in contravention of the licensing requirement commits an offence and may be subject to a fine, imprisonment or both.

That the performance will comply with Part 4 of The Children (Performances and Activities) (England) Regulations 2014 which applies "to all licensed performances and to all performances, which are exempted from the requirement to obtain a licence, under section 37(3)(a) of the 1963 Act .

That suitable arrangements for the supervision of the children will be in place, with reference to DBS guidance on working with children in "regulated activity" and other appropriate guidance.

That suitable arrangements for child safeguarding will be in place, with reference to local safeguarding advice .

Name of applicant ………………………………………………………………………………………………………

Name of production company …………………………………………………………………………………………

Address …………….……………………………………………………………………………………………………

Position in company ……………………………………………………………………………………………………

Signature ……………………………………………………………Date ………………………………………..

This form (and accompanying schedule if being submitted) can be sent electronically to the email address below.

YOU MUST ALSO SUBMIT A MEDICAL DECLARATION FORM FOR EACH CHILD PERFORMER WITH THE EXEMPTION APPLICATION.

Medical declaration to be completed by child’s parent

Does your child have:
(answer yes or no) / If yes please provide details including any treatment or medication:
Asthma
Any allergies
Any skin conditions
Hearing impairment
Visual impairment
Any learning disability
Any physical disability
Any medical conditions?
Taking any regular medication(s)?
Been to see or had a referral to a hospital consultant in the last 6 months?
I confirm that I have parental responsibility[1] for this child. / Signature of parent:
Print Name:
Postal Address (if different from child)
Parents Email Address
Parents Telephone No.
Date:

I certify that to the best of my knowledge the details in this application are correct. I hereby apply for a licence under section 37 of the Children and Young Persons Act 1963:

Signature of applicant:
(To be signed by person
named on page 1)
Date:

Please return to:

Children in Entertainment, Employment and Chaperone Licences Team

Family Service

Sir John Robinson Way

Arnold

Nottingham

N5 6DA

Email: .

Telephone: 0115 8546421