The Old Vic Community Company: Rise–BandApplication Form

(If handwriting please use BLOCK CAPITALS)

Tell us about you

First Name / Surname
Gender / Age
Address
Postcode / Borough
Phone Mobile / Phone Landline
E-mail Address

IF OVER 18:

I confirm that I am over 18 years of age and am able to join The Old Vic Community Company.I confirm that I have looked at the dates overleaf and can attend the significant majority of rehearsal dates and all of the performance dates. I am happy to be a part of The Old Vic Community Company for year 3 of the project.I am also happy for The Old Vic to use moving and photographic images in the promotion of Rise and the work of Old Vic New Voices.

Name ______Date ______

IF AGED 16 – 18 YOU WILL NEED THE PERMISSION OF YOUR PARENT/GUARDIAN.

I confirm that I am aged between 16 – 18 years of age. I confirm that I have looked at the dates overleaf and can attend the significant majority of rehearsal dates and all of the performance dates.

Name: ______Date: ______

I am happy for______to join The Old Vic Community Company and to attend and leave all sessions without parental supervision. I am happy for them to be a part of The Old Vic Community Company for year 3 of the project. I am also happy for The Old Vic to use moving and photographic images of my child/ward in the promotion of Rise the work of Old Vic New Voices.

Parent/Guardian: ______Date: ______

Dates of the Project

Listed below are all the dates of the project (subject to change). It would be useful to know when you will be free.Please indicate which dates you are availableby ticking the appropriate box. Shaded dates are critical to the project.Please note these are still subject to change.

If you are available for all of these dates please tick here: 

If you tick the box above to confirm you are available for all of the dates there is no need to complete the form below.

Day / DD / MM / 9am – 1pm / 1pm – 6pm / 6pm – 10pm
Sat / 11 / June / Meet & Greet
Tue / 14 / June / Rehearse
Wed / 15 / June / Rehearse
Thur / 16 / June / Rehearse
Sat / 18 / June / Rehearse
Sun / 19 / June / Rehearse
Tue / 21 / June / Rehearse
Wed / 22 / June / Rehearse
Thur / 23 / June / Rehearse
Sat / 25 / June / Rehearse
Sun / 26 / June / Rehearse
Tue / 28 / June / Rehearse
Wed / 29 / June / Rehearse
Thur / 30 / June / Rehearse
Sat / 2 / July / Rehearse
Sun / 3 / July / Rehearse
Tue / 5 / July / Rehearse
Wed / 6 / July / Rehearse
Thur / 7 / July / Rehearse
Sat / 9 / July / Rehearse
Sun / 10 / July / Rehearse
Tue / 12 / July / Rehearse
Wed / 13 / July / Rehearse
Thur / 14 / July / Rehearse
Sat / 16 / July / Rehearse
Sun / 17 / July / Rehearse
Tue / 19 / July / Rehearse
Wed / 20 / July / Rehearse
Thur / 21 / July / Rehearse
Sat / 23 / July / Rehearse
Sun / 24 / July / Rehearse
Tue / 26 / July / Rehearse
Wed / 27 / July / Rehearse
Thur / 28 / July / Rehearse
Sat / 30 / July / Rehearse
Sun / 31 / July / Rehearse
Tue / 2 / August / Tech
Wed / 3 / August / Tech
Thur / 4 / August / Tech
Sat / 6 / August / Tech
Sun / 7 / August / Tech
Mon / 8 / August / Tech
Tue / 9 / August / Dress
Wed / 10 / August / Performance
Thur / 11 / August / Performance
Sat / 13 / August / Performance
Sun / 14 / August / Performance
Wed / 17 / August / Performance
Thur / 18 / August / Performance
Sat / 20 / August / Performance
Sun / 21 / August / Performance

Special requirements

Would you have any special access requirements to take part?

(Delete as appropriate)Yes / No

If yes, please explain:

Personal Statement

Please tell us in no more than 500 words, why you would like to be part of The Old Vic Community Company.

What instruments do you play?

Please tell us a little about what instrument or instruments you play and what experience you have.Do not worry if you have not had any formal experience or do not read music.

Training