LONGWELL GREEN and KINGSWOOD PERFORMING ARTS FESTIVAL
SPEECH, DRAMA & MUSICAL THEATRE ENTRY FORM ( Please complete in BLOCK LETTERS )
Last Day of Entry – 21st September 2022
Performer’s Name……………………………………………………………………………………………………….
Please circle – entering as Teacher / Parent / Performer
Address…………………………………………………………………………………………………………………………………..
……………………………………………………………………………………………………………………………………………………………
Postcode …………….. Tel No. …………………………………… Date of Birth …………………………………………..
Email Address……………………………………………………………………………………..
Further details and tickets will be sent by email. If you are not on email please provide Stamped Addressed Envelope for the return of entry tickets and send to Mrs Jenny Stone, 4 Oak Tree Close, Hanham, Bristol BS15 3TQ Tel: 0117 9618528 email:
| Class No. | Age on 1st Sept | Performer’s Name
(BLOCK LETTERS) |
Fee
|
Name of Own Choice,
Test Piece and Composer/Author |
Name of school |
| TOTAL FEES ENCLOSEDWITH THIS FORM £ ……………..….. Payment via BACS – Longwell Green and Kingswood Performing Arts Festival – Sort Code: 30-94-80 Account Number: 00576207 Please use name of Performer as reference. Cheques made payable to Longwell Green and Kingswood Performing Arts Festival | |||||
Please sign that you have read and accept the rules of the Eisteddfod and Child Protection Policy.
Signed…………………………………………………………………………………………………………………………
I understand that by completing this entry form I am giving my consent for personal data to be collected and securely stored for the purpose of the administration of the Longwell Green Eisteddfod.
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From time to time we may wish to send you details of forthcoming events and future Eisteddfods. If you DO wish to receive details, please tick here ☐
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