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Is he/she on the books of any other Performing Arts Agent?<br />
If so, please state name and address<br />
Name<br />
APPLICATION FORM<br />
Address<br />
Postcode<br />
Does your son/daughter have any Special needs/medial/pastoral?<br />
Do you attend any other theatre/dancing school? If so, which one?<br />
Name<br />
I DO/DO NOT give permission for performance photographs of my son/<br />
daughter to be displayed on the group (private) Facebook page or in the press<br />
Signed Parent/Carer Date<br />
*If under 18<br />
DD-MM-YY<br />
PLEASE RETURN TO:<br />
Princes Youth Theatre, Town Hall, Station Road, Clacton-on-Sea, CO15 1SE<br />
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