Congratulations! your child has been cast in the 2020 combined schools musical!

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Please complete the form below to submit the Cast Members details for the 2020 Combined Schools Musical
PLEASE NOTE: The below information is being gathered as you have been accepted into the cast of the 2020 Combined Schools Musical. The information will be only accessed by authorised council employees. Your information will be not be given to any other person or agency unless you have given us permission or we are required by law.
Personal Informaiton
Full Name of Cast Member 1Please ensure this wording is correct as it will be used in the Musical Program
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D.O.B of Cast Member 1Please select your date of birth
date_range
Cast Members T-Shirt SizePlease advise kids sizing or adult sizing eg Men L, Ladies S, Kids 8
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Cast Members Pant SizePlease advise kids sizing or adult sizing eg Men L, Ladies S, Kids 8
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Full Name of Cast Member 2Please ensure this wording is correct as it will be used in the Musical Program
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D.O.B of Cast Member 2Please select your date of birth
date_range
Cast Members T-Shirt SizePlease advise kids sizing or adult sizing eg Men L, Ladies S, Kids 8
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Cast Members Pant SizePlease advise kids sizing or adult sizing eg Men L, Ladies S, Kids 8
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Full Name of Cast Member 3Please ensure this wording is correct as it will be used in the Musical Program
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D.O.B of Cast Member 3Please select your date of birth
date_range
Cast Members T-Shirt SizePlease advise kids sizing or adult sizing eg Men L, Ladies S, Kids 8
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Cast Members Pant SizePlease advise kids sizing or adult sizing eg Men L, Ladies S, Kids 8
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Parent/Guardian Name
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Parent/Guardian Contact Phone Number
phone
Parent/Guardian Email Address
mail
Parent/Guardian Facebook Account NameThe Musical Director will create a Facebook Group to easily post updates
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CONSENT/AGREEMENTS
Photographic Consent
The Gladstone Entertainment Convention Centre ("GECC”) is collecting your personal information; namely photographs or videos of yourself which may be used in promotional material including videos, catalogues, magazines, newspaper articles, brochures, social media and GECC’s website (“Promotional Material”) The information will only be access by authorised Council employees in relation to the above use and will not be given to any other person or agency other than for the purpose of preparing Promotional Material unless you give us permission, or we are authorised by law.
AGREEMENT TO PHOTOGRAHPIC CONSENTBy ticking the checkbox below I have read and agree to 1. Give the GECC, its employees and those acting with its authorisation the right and permission to copyright, use, and/or publish my photographs and /or the video of myself in the Promotion Material. 2. Waive any right to inspect or approve the finished videos, photographs, advertising copy, or printed matter that may be used in conjunction therewith; or to the eventual use that might be applied; 3. Consent to my personal information being published on GECC’s website as part of the Promotional Material. Access to which will be available outside of Australia.
Code of Conduct

Please read the Code of Conduct here and tick the box below once you fully understand all behavioural standards 

AGREEMENT TO CODE OF CONDUCTBy ticketing the box below I agree to uphold these behavioural standards and acknowledge that any breach of these standards could result in my termination from The 2019 Community Musical, and could potentially lead to legal action.
Medical Details
Questionnaire: Has the cast member had or suffer from any of the following?
Do you suffer from a life threatening Illness or Allergy?If yes please give brief details including medication taken for medical conditions
DetailsDetails of condition including medication
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Are you taking any regular prescribed medication?If yes please give brief details including medication taken for medical conditions
DetailsDetails of condition including medication
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Fits, Convulsions or Epilepsy?If yes please give brief details including medication taken for medical conditions
DetailsDetails of condition including medication
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Diabetes?If yes please give brief details including medication taken for medical conditions
DetailsDetails of condition including medication
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High blood pressure?If yes please give brief details including medication taken for medical conditions
DetailsDetails of condition including medication
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Heart Condition?If yes please give brief details including medication taken for medical conditions
DetailsDetails of condition including medication
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Asthma or any other Respiratory Disease?If yes please give brief details including medication taken for medical conditions
DetailsDetails of condition including medication
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Anxiety or Mental Illness?If yes please give brief details including medication taken for medical conditions
DetailsDetails of condition including medication
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Current Medical Historyie - Allergies, Current Medication, Amy conditions that may effect your safety or the safety of others etc
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Next of Kin (in case of an emergency)
1. NameTheir full name
Phone Number/sBest contact number
AddressHome address
State
City
Postcode
2. NameTheir full name
Phone Number/sBest contact number
AddressHome address
City
State
Postcode
Doctors/Specialist/MedicationPlease provide details
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UNDERSTANDING OF THE 2020 COMBINED SCHOOLS MUSICALBy ticking the box below I certify that I have supplied all correct personal information and understand that this information will be used by authorized staff to process the 2020 Combined Schools Musical cast member.
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