Flying High Expressive Arts CIC | Gedling’s Got Talent Form

Flying High

‘Gedling’s Got Talent’ Form
Please complete the following Application Form if you wish to apply for our Gedling’s Got Talent.

Full Name(s) *

Individual, pair or group's name

Age(s) (if under 18)

Address & Postcode *

Main contact if a pair or group

Email Address *

Main contact if a pair or group

Contact Number *

Main contact if a pair or group

Contact Name (if different from name above)

Main contact if a pair or group

Title of Act *

Genre *

If 'other' please describe act below

Other (please describe)

Comments on video footage if needed e.g. poor lighting quality, act not complete etc (N.B. All acts must be no longer than 4 minutes)

Are there any medical conditions / learning disabilities we should be aware of? *

Medical information or access to information

Permission is given for photographs/videos which may be used for promotion/publicity purposes *

I understand the rules of the competition and accept that the judges' decision is final *

I have read the data protection policy and understand that my details will be kept on file and deleted when the event is completed *

Where did you hear about us? *

74658

Email: [email protected]

Phone: +44 (0)7946 703 821

Address: Community Centre, Pond Hills Lane, Arnold, Nottingham NG5 8DR1