Blackburn Youth Theatre Membership Application

Only complete this form if you intend to attend the weekly workshops.

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Application to join the Blackburn Youth Theatre

Please type in the fields (instead of using autofill). The form will not submit until you have typed the correct information in all the required fields.

Required fields are marked with a *

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First Name*

Last Name*

Date Of Birth*

Address Line 1*

Address Line 2

City*

Postcode*

Telephone*

School Attended*

Parent/Guardian Name*

Parent/Guardian Contact Number*

Medical Information

Previous Drama Experience

Your Email*

Parent/Guardian Email*

Human Check*
Please enter the 3 letters displayed in the image

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