Parade - The Giant Wheel // Community cast registration form 2024 - Yeovil | Saturday 21st September 2024

Please fill in the information below to register your interest in joining the performance and workshop sessions for Parade - The Giant Wheel 

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Your data information will be shared with Autin Dance Theatre (ADT) and our partner organisation The Octagon Theatre. Please tick below to confirm you are happy that your data will go to both organisations.
Full Name: 
*
Which Performance & workshop/s are you attending? 
*
Contact Number: 
Contact Email: 
*
Please tick the box below to consent for us to add you to Autin Dance Theatre's monthly mailing list: 
Are you coming with someone else (family member or friends)? If so please list below; 
Do you/ any member of your party have any access requirements? (Support Worker, BSL Interpreter, Wheelchair access, etc) Please say how we can best support you/them in the box below. 
Do you or any member of your party have any pre-existing medical conditions or allergies we need to be aware of? 
Do you or a member of your party have any dietary requirements? Please tell us below...
Emergency Contact Name: 
*
Emergency Contacts Relationship to you/your party members:
Emergency Contact Number: 
*
Is there anything else we need to know? 
Media Consent
With your permission, we will be digitally documenting Parade – The Giant Wheel  through photography and film alongside our local partners, The Octagon Theatre.

If you wish not to be photographed please do not tick the box below and DO let a member of staff know that you do not wish to be photographed at both the workshops and performance. 

Note for Parents/Guardians: 

In accordance with our safeguarding policy (available on our website here - https://autindt.co.uk) we will not permit photographs, video or other images of young people to be taken without the consent of the parents/legal guardian, and where appropriate, the child/young person.

  1. In consideration of Autin Dance Theatre and local partners agreeing to use photographs/video film (i.e. image), I hereby grant Autin Dance Theatre and The Octagon Theatre and any assignees or licensees the absolute right to use the images resulting from the photography/video filming shoot, and any reproductions or adaptations of the images for any purposes in relation to AutinDT’s and The Octagon Theatre's work including, without limitation, the right to use them in any publicity and learning materials such as broadcasting, newspapers, magazines, leaflets, brochures and posters, direct mail, newsletters and e-news, and publications for public events and the Internet such as learning resources, case studies, films, blogs and social media.   

  2. I understand that the images will not be identified with the name of the individual unless this has been specifically agreed for the individuals name to be used, and that text may suggest that the individual has taken part in a project with AutinDT and The Octagon Theatre in order to promote AutinDT’s and The Octagon Theatre's work.  

  3. I understand that AutinDT and The Octagon Theatre will keep all the images and use them for such period as it considers appropriate, and will move them into its image archive for posterity.  

  4. Image consent can be changed or withdrawn at any time and any restrictions on use of images declared by notifying AutinDT/ The Octagon Theatre in writing.  

Please check the appropriate boxes below
Please list all names that have given the above media consent (including children that you are consenting on behalf of)
image: Parade The Giant Wheel @ Walsall Arboretum
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