Take Me Out, March 2020!
If you would like to take part in this event, please fill in the form below...if you have any questions, please contact Plymouth RAG via our Facebook page or via email... plymrag17@gmail.com
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What is your name? *
Are you 18 or over? *
What is your mobile number? (if you don't have a phone, please provide an email address) *
Will your require any special assistance at the event?  If you answer yes, we will contact you to find out how we can assist you. *
What is your gender identity? *
What is your sexual preference? *
Would you rather be on the panel or a contestant (you may not get your top choice). *
Please could you provide a song which you would describe as your 'anthem'... for example, 'the Pink Panther theme' *
Please could you tell us a funny story and/or interesting fact about yourself? *
Do you have a 'special talent' or ability that you could do on the night? (this doesn't necessarily mean that you will have to do it) *
I confirm that I will be available on Monday 2nd March 2020 from 7:30pm and I understand that sensitive information such as mobile number, email address, gender identity and sexual preference will be treated confidentially. *
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