THE MINERVA CLUB

APPLICATION FOR CHILDREN’S MEMBERSHIP

(please print out this form, complete it and bring it to your audition)

 

To: The Minerva Club Committee , 59 Burnbank Terrace, Glasgow G20 9UQ

I _______________________________________________________________________________  (Full Name in Block Letters)

wish to become a member of the Minerva Club for the production of "Annie", and if accepted, agree to be bound by the obligations and conditions of the Club’s Constitution and Bye-Laws.

I authorise you to enter my details on the club’s computer database, to be used only for Minerva Club purposes. No information will be passed to any third party.

If accepted, I agree to pay the sum of £ 15 as membership fee for this show, within the time prescribed in the Bye-Laws for my subscription.

Candidate's Name   Signature  
Age   Date of Birth  
Home Address   Post Code  
Home Telephone Number   Mobile  
Emergency Contact   Telephone Number  
School Attended   School Telephone Number  
School Address  
Previous Stage Experience (Dance Shows, Musicals, Plays etc)   Do you attend dance classes? YES/NO  

Audition held: Saturday 31st May 2008 Accepted Rejected

"Annie" ‘Principal’ Orphan ________________ Chorus Orphan