Patch's Parade Community Registration Form Survey

Musicians, Singers, Movers and Chaperones

We need you! We are looking for volunteers to bring Patch’s Parade to life along the city streets of Salisbury on Sunday 26 May 2024.

If you would like to take part in Patch's Parade as a Musician, Singer, Mover or Chaperone, please complete the following registration form.

If you would like to take part in Patch's Parade as a Puppeteer, please register via this link: https://www.surveymonkey.com/r/PatchsParadePuppet

If you wish to create a patchwork square, you do not need to complete a form. Please visit our website for details: https://www.wiltshirecreative.co.uk/news/make-a-patch

If you are under 18, a parent or guardian will need to complete this form for you.

Please email parade@wiltshirecreative.co.uk if you have any questions.

1.Participant Full Name (As it should appear in a programme)(Required.)

2.Preferred Name

3.Participant Contact Details(Required.)

Email Address

Home Telephone Number

Mobile Telephone Number

Address

Postcode

4.Emergency Contact Details(Required.)

Name

Relationship To Participant

Contact Number

5.Date of Birth (If Under 18)

Date of Birth

Date

SuSunday

MoMonday

TuTuesday

WeWednesday

ThThursday

FrFriday

SaSaturday

6.Parent/Guardian Contact Details (If Under 18)

Name

Relationship To Participant

Email Address

Home Telephone Number

Mobile Telephone Number

7.Are there any access needs we may need to be aware of? (e.g mobility)

8.Are there any medical conditions we may need to be aware of? (e.g allergies, regular medication taken, mental health considerations)

9.Is there anything we can do to support your participation?

10.Please tick the boxes if you DO consent to the following:

You give us permission to administer First Aid

You give us permission to produce recordings including photographs of Patch's Parade activity for Wiltshire Creative marketing

You give us permission to contact you regarding activities and opportunities including specialist workshops, auditions and ticket discounts

You give permission for the young person to leave unattended at the end of a session (Under 18s only)

11.Please select which Volunteer Community Group you would like to be a part of (You can only select 1)(Required.)

Singing (18+)

Movement (12+)

Musician (15+)

Chaperone (18+)

12.If you selected Musician, please provide details of the instrument you will be playing (instrument, make, model, value, grade you can play to)

13.If you selected Chaperone, do you have any chaperoning experience? (This is not essential)

14.Please tick if you AGREE with the following

I can attend all rehearsal dates and the performance date for my chosen group