Youth Theatre Application Form

Name:

 

Address

 
 
 
 

School/College

 

Telephone

 

e-mail address

 

Subscription to the workshops is £20 per term (£2 per session)
N.B. for insurance purposes all workshp members must be members of the Rossendale Players.Subscriptions for the Players are collected annually by the Membership Secretary ,usually at the start of the new season .£5 (under 18) and £10 (over 18) per annum.

Name:----------------------------------------------------------------------- wishes to become a member of Youth Theatre Workshop.
I enclose £______ cash/cheque as my/his/her first term's subscription.
Cheques payable to "Rossendale Players" please


Signature........................................................(Parent or Guardian if under 18)


Date:-.........................

 
Return to

Youth Workshop
The New Millennium Theatre,
69 Burnley Rd East,
Waterfoot,
Rossendale,
BB4 9AR

For Official Use Only
Cheque/cash:  
Term Booked :  
Rossendale Players Membership/Junior/Senior
Signed:  
Date: