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1.
Please fill out the participant's contact information
Name
Company
Address
Address 2
City/Town
State/Province
ZIP/Postal Code
Country
Email Address
Phone Number
2.
What is the participant's date of birth?
Date
Date
January
February
March
April
May
June
July
August
September
October
November
December
1900
1901
1902
1903
1904
1905
1906
1907
1908
1909
1910
1911
1912
1913
1914
1915
1916
Su
Sunday
Mo
Monday
Tu
Tuesday
We
Wednesday
Th
Thursday
Fr
Friday
Sa
Saturday
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
3.
How would you describe your ethnic background
White
White European
White other
Black African
Black Caribbean
Black British
Indian
Pakistani
Bangladeshi
Chinese
Asian Other
Dual Heritage
4.
Please provide emergency contact details
Name
Email Address
Phone number
5.
I hereby give Tavaziva permission to use any still or moving image; being video footage, photographs and/or audio depicting the participant named above, taken by Tavaziva and/or any photographers employed by, or working with the company
Yes
No
6.
Do you require any special educational needs support?
Yes
No
7.
Please confirm your clothes size for the performance costumes
Extra small
Small
Medium
Large
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