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Event registration
Event Timing: Saturday 11th June 2-4pm and 3rd July 11-1pm
Event Address: Nautical Room, Portishead Youth Centre
Contact us at 07429601798
george@theatreorchard.org.uk
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* Indicates required question
Name of person attending
*
Your answer
If under 18 what is Date of Birth
MM
/
DD
/
YYYY
What is your postcode
Your answer
Email contact
*
Your answer
Name of Parent/Guardian if under 18
*
Your answer
Emergency contact number
Your answer
Does the person attending have any access needs?
*
yes
no
sometimes
Required
Please tell us about how we can best address any access needs during the session:
Your answer
Dietary restrictions
*
None
Vegetarian
Vegan
Kosher
Gluten-free
Other:
If under 18 does the person have permission to leave the session by themselves to go home?
Yes, they can leave unaccompanied
No, they will need to be collected from the session
Do you give permission for photographs to be taken during the session?
Yes
No
Clear selection
Do you give permission for photos to be shared as a celebration of the event by Theatre Orchard and local partners (Beacon Hub, Portishead Town Council)
No
Clear selection
The project is a two-part process. Can you confirm attendance at both sessions
*
Yes
No
Required
Are there any health or medical conditions that you feel that we should be aware of during the session?
Your answer
Would you like us to contact you about future opportunities like this
Yes
No
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