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Red Bird Youth Collective Registration Form
Please sign and date the form. If you are under 18 you will need a parent/guardian's signature.
All information will be kept safely and only used for the purposes of Red Bird Youth Collective and Galway Youth Theatre communications.
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First Name
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Your answer
Surname
*
Your answer
Street Address
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Your answer
City
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Your answer
Date of Birth
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MM
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DD
/
YYYY
Phone Number
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Your answer
Home Number
Your answer
Email Address
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Your answer
Occupation
Your answer
Is there anything you'd like us to know about you, so that we can support you better during your time as a Red Bird?
This covers any topic, such as diet, neurodivergence, access needs, or anything else you feel it's important for us to know.
Your answer
Preferred method of communication
*
Email
Phone
Other:
Signature (typed)
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Your answer
Parent/Guardian's Signature (if under 18) (typed)
*
Your answer
Date
*
MM
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DD
/
YYYY
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