CYT Audience 2018 Application Form Question Title * 1. Applicant's details Name Date of birth Mobile number Email address Medical conditions (enter N/A if none) School Year (10, 11 or 12) Question Title * 2. Emergency information Emergency contact 1 - Name Emergency contact 1 - Relationship Emergency contact 1 - Phone number Emergency contact 1 - Mobile number Emergency contact 1 - Email address Emergency contact 2 - Name Emergency contact 2 - Relationship Emergency contact 2 - Phone number Emergency contact 2 - Mobile number Emergency contact 2 - Email address Question Title * 3. Why is theatre important to you? Question Title * 4. Write about a theatrical experience you have had. Write your thoughts about the piece, its meaning, its strengths and weaknesses. Question Title * 5. Why do you want to be a member of CYT Audience? Question Title * 6. I grant Canberra Youth Theatre Company permission to use images of me for the purposes of use in any CYT Publications (all media), exhibitions, CYT marketing and publicity. Yes No Done