BRING ME SUNSHINE
VOLUNTEER APPLICATION FORM
WHY NOT EXPERIENCE THE POWER OF DANCE, MUSIC AND LAUGHTER?
PARTICIPANT INFORMATION
Thank you for signing up to be part of Bring Me Sunshine by Stuff and Things. This show is currently being created and is a mix of dance and music. The company needs 8 volunteer dancers to take part in 2 performances at the Out There Festival 2015 (on Friday 18th September and Saturday 19th September at 2.30pm).
By filling out this application form you willapply to become part of Bring Me Sunshine, but what does this means?
WHAT?You will learn a choreography with the company and professional dancers and take part in a 60 minutes long performance.
WHO?We are looking for anyone and everyone, no dancing skills or experience required but you will need to be 18 or over. Volunteers with disabilities are welcome to join.
WHEN? We will run 4 rehearsalsessions on the evenings of 3rd, 7th, 8THand 15th September. For performance days on 18th and 19th September, you must be available from around 10am until around 6pm both days.
Per diems for volunteers: To cover up pocket expenses, we have an allocation of £15 per session and performance for each of our volunteer performers. Catering on performance days is also included.
To find out more about the company, please visit their website at
Please complete the form below to apply. Please return forms to Elisabeth at Drill House, York Road, Great Yarmouth, NR30 2LZ or email . Please return forms by Friday 31st August.
There will be an evening meeting with company and volunteers so that everyone can meet and, if more than 8 people have applied, the company can select the 8 volunteers that will take part in the project. You will be contacted when the date, time and location is known.
SEACHANGE ARTS PARTICIPANT DETAIL FORM- INDIVIDUAL
‘BRING ME SUNSHINE’
OUT THERE FESTIVAL 2015
Personal Contact Details
We will not pass your details onto any third party.
FULL NAME:
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GENDER: (please circle)DATE OF BIRTH:
MaleFemale……………/……………/……………………
ADDRESS:
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TELEPHONE NUMBER:MOBILE NUMBER:
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EMAIL:
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ETHNICITY: (please circle)
White- British / Asian or Asian British – BangladeshiWhite – Irish / Asian or Asian British – Other
White- Other / Black or Black British - African
Mixed – White and black Caribbean / Black or Black British - Caribbean
Mixed – White and black African / Black or Black British - Other
Mixed – White and Asian / Chinese
Mixed – Other / Prefer not to say
Asian or Asian British – Indian / Other (please specify):
Asian or Asian British - Pakistani ………………………………………………………
AVAILBILITY
To take part in Bring Me Sunshine you need to be able during the following dates and times. Please tick the boxes below if you are available for the rehearsals and the performance:
Thursday 3rd September evening
Monday 7th September evening
Tuesday 8th September evening
Friday 18th September, 10am – 6pm
Saturday 19th September, 10am – 6pm
HEALTH DETAILS:
Do you have any additional needs, e.g. any disabilities, or learning difficulties? (please circle)
YesNo
If YES then please provide details:
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Do you have any medical conditions or known allergies? (please circle)
Yes No
If YES then please provide details:
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Have you ever broken any bones or undergone medical procedures? (please circle)
Yes No
If YES then please provide details:
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Are you happy for SeaChange Arts staff or person contracted by SeaChange Arts to administer first aid if you are injured? (please circle)
YesNo
In the event of an emergency, are you happy for SeaChange Arts staff or person contracted by SeaChange Arts to accompanyto hospital or for the emergency services to be called? (please circle)
YesNo
EMERGENCY CONTACT DETAILS (NEXT OF KIN):
NAME:RELATIONSHIP:
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ADDRESS IF DIFFERENT TO ABOVE:
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TELEPHONE NUMBER:MOBILE NUMBER:
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EMAIL:
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NAME OF SECONDARY CONTACT:RELATIONSHIP:
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TELEPHONE NUMBER:MOBILE NUMBER:
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MEDIA CONSENT:
On occasion SeaChange Arts may wish to photograph, record or quote participants, these materials may be used for promotional purposes or be shared with funders/ partners.
I give permission for images/ recordings/ quotes of the above named (young person/myself) to be taken and used as described above. (please circle)
YesNo
To be completed if aged 18 or over:
- I understand that it is my responsibility to inform SeaChange Arts staff of any changes to the information on this form, including medical information, contact and travel details.
- I understand that SeaChange Arts holds a Child Protection Policy and that it is available to me should I wish to read it.
NAME: ………………………...... SIGN: ……………………………………………………….
DATE: ......
Please complete the form to apply. Please return forms to Elisabeth at Drill House, York Road, Great Yarmouth, NR30 2LZ or email . Please return forms by Friday 31st August.
There will be an evening meeting with company and volunteers so that everyone can meet and, if more than 8 people have applied, the company can select the 8 volunteers. You will be contactedwhen the date, time and location is known.
SeaChange Arts, Drill House, York Road, Great Yarmouth, Norfolk, NR30 2LZ 01493 745458