Children Application Form

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REGISTRATION FORM

Name:…………………………………………………………………….
PHOTO HERE
Address:……………………………………………………………….
……………………………………………………………………………….
………………………………………………………………………………
Post Code:…………………………………………………………..

Tel No:………………………………………………………………..

Mobile No: ………………………………………………………..

Email: ……………………………………………………………………………………………………………………………

Date of Birth: ……………………………………………... Age: ………………………………………………..

Hobbies & Interests: ………………………………………………………………………………………………

Previous Experience: ……………………………………………………………………………………………….

Medical information: ……………………………………………………………………………………………….

I allow / do not allow my child’s photo and details to be submitted for possible
TV, Radio and Stage Auditions.

I give / do not give permission for my child to be photographed for publicity


purposes and allow / do not allow their photo to be put on the Wranglers
website.

Name & Number of person to be contacted in emergency and relationship to


child: ………………………………………………………………………………………………………………………

Signed: …………………………………….. Print: …………………………………….


Parent / Guardian
Date: …………………………………………

CRB Checked Yes / No (delete as applicable)

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