EmailMe Form - Dance, Sing, Act

Your Email *
Please supply an email address that is checked regularly and maybe take a minute to add info@westsideperformingarts.ie to your contacts/address book to ensure you receive our emails. https://www.whitelist.guide
Applicants Name *
First Last
Student date of Birth *
DD / MM / YYYY
Male
Female
Address Line 1 *
Address Line 2
Town *
County *
Eircode
Parent / Guardian Name 1 *
First Last
Parent / Guardian Phone 1 *
Parent / Guardian / Childminder/ A.N.other in case of emergency Name 2 *
First Last
Parent / Guardian / Childminder/ A.N.other in case of emergency Phone 2 *
Day you wish to attend classes *
If the session you have applied to is full...
Keep me on the waiting list for the chosen session
I'm interested in availability of other sessions
Details of any Medical Condition, Special Needs or any other details that we should be aware of...
IF NONE PLEASE STATE SO *
Please list any related experience / training (singing, dance, drama etc) & any particular talents...
List any Performing Arts Schools attended Past / Present or any Representative / Agent you have in the Performing Arts Industry
*
I consent to allowing Westside Performing Arts contact me by Email and/or Text Message.
*
I consent to the data entered on this application to be stored on Westside Performing Arts Database.
Multiple Choice *
Yes
No
I consent to photographs and/or video footage of the applicant been taking and stored for use so The Applicant can be represented by www.westsideagency.ie for Casting Agency work (i.e. auditions for productions in TV, Film, Theatre) our schools prospectus or in other printed publications that we produce, as well as on our website and social media. The media may also visit our school to take photographs or film footage during an event. Students will often appear in these images, which may appear in local or national newspapers, or on televised programmes.
How did you hear about WestSide? *
From Friends/Family
Facebook
Instagram
Other Social Media
Internet Search
Local Advert
Other(see below)
How did you hear about WestSide?
Other: