First Name
Last Name
Date of Birth
Sex	Male Female

Contact details:

Street Address
Address (cont.)
City
County
Post Code
Home Phone
E-mail

Please indicate which areas you are interested in (please select all that apply):

Acting
Directing
Set Design
Set Painting
Set Construction
Lighting
Sound
Stage Management
Props
Prompting

Previous experience, if any (it is not necessary for you to have had experience):

Do you play a musical instrument?

Yes
No

If yes, which instrument(s) do you play?

What type of membership would you like?

  Please select Full Couple Student Patron Postal Joint