Application For Children's Entertainment Licence

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16. If the child has to live somewhere other than his/her usual residence, please state: the address of any lodgings, name of householder and the number of other children who will live at the same lodgings: 17. Approximate length of time the child will spend travelling: i) to and from the place of performance or rehearsal, and the arrangements of any for transport ii) ii) to and from the place of performance or rehearsal 18. Name of any other licensing authority to which an application has been made for another child to take part in performances to which this application relates Section B – to be completed by Parent or Guardian Please give the following particulars in respect of the child 1. Name of the child: 2. Date of birth of the child: 3. Address of the child: 4. Name and address of schools attended by the child during the twelve months preceding the date of this application 5. Dates (if any) on which the child has been absent from school during the past twelve months due to him/her taking part in a performance
6. Particulars of each application for a licence made during the past twelve months to another authority other than the licensing authority to whom this application is made stating: i) name of the Local Authority ii) date on which the licence was granted iii) date and nature of the performance 7. Particulars of each application for a licence made during the last twelve months and refused by any other Local Authority stating: i) name of the Local Authority ii) place of the performance iii) nature of the performance iv) name of the person responsible 8. Particulars of each performance during the past twelve months for which a licence was not required stating: i) date of the performance ii) place of the performance iii) nature of the performance iv) name of the person responsible 9. Particulars of each performance during the past twelve months for which a licence was not required stating: i) nature of the employment ii) days on which the child is employed iii) times which the child is employed 10. Particulars relating to the sums earned by the child during the past twelve months stating: i) whether the sums earned were in respect of performances for which a licence was granted, not required or other forms of employment ii) amount of sums earned iii) iv) date payment was received name, address and description of the person from whom payment was received I support this application for a licence. I certify that to the best of my knowledge, the foregoing particulars are correct and I understand that if a licence is granted, it will be subject to the restriction and
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Application For Children's Entertainment Licence

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