The Character Warehouse

Member Programme

Member Information Form

Personal Details

Member's Full Name

Member’s Given Name

Preferred Name: What would you like us to call you?

How do you like to be addressed? He/She/Them etc

Date of Birth

Address

City

State/Province

Zip/Postal

Country

Phone

Medical and Additional Needs

Do you have any medical conditions of which we need to be aware?

YesYes

Do you have any additional needs which we need to be aware of?

YesYes

Do you have any allergies ie animals etc

Council Information

What is your local council authority? (This information is required to assist with potential funding and any necessary licensing applications.)

Programme Motivation

Please explain why you wish to join the mascot programme, what you would like to gain from it, and how you hope to contribute to the community:

Consent

Terms and Conditions

I understand that anything discussed within the group or disclosed regarding another member, volunteer, member of staff, client, or about the organisation, must not be shared outside the organisation. If a safeguarding issue arises, this should be discussed with the Artistic Director, who will address the matter with the adult team in accordance with policy and take appropriate action.

I consent to photographs being used for social media, press, website and any other marketing use

Terms & Conditions

I agree to all the terms and conditions set out above.

Signature

Clear

Additional Information

If you are human, leave this field blank.