Online Membership Application

Title (required)

Your Name (required)

Date of Birth (If 16 - 17 years)

Address 1
Address 2
Address 3
Postcode

Your Email (required)

Phone Number

Mobile Number

If you are new to the group, please let us know of any previous experience you have, or if you have any skills or interests which might help the group:

Do you have any health issues we should be aware of (e.g. diabetes, asthma, strong allergies etc?)
If so please list:

Membership Type
Adult £10 (18 years and over)Youth £5 (16-17 years)

You will need to send payment along with your form which can be made by paypal to our address ([email protected]), or by cash/cheque if you come to pay in person. By submitting this online form, you agree that your details are correct and you are signing up to be a member of the group.

Photo Release

Islesburgh Drama Group may use materials gathered from rehearsals, performances and any other organised activities in order to promote and highlight the profile of the group. This material may be used in the media in a variety of ways including press releases, leaflets and advertising posters. It may also be used on our Facebook page, Blog and on our website. Please tick one of the following boxes to let us know if we have your permission for appropriate photographs, video footage, taped interviews, quotes, articles or information about you or your experiences with Islesburgh Drama Group to be used in this way.

I give my permission for the aboveI do not give my permission for the above