For office use Date Received

only

Members name:

Date of Birth:

Name of contact parent / guardian:

Address:

Postcode:

Contact telephone number:

School:

Please affix a recent photograph

(Ideally passport sized, preferably black and white)

Does your child suffer from any medical condition(s) that we should know
about?

EMERGENCY CONTACT INFORMATION

1st Name: Number:
2nd Name: Number:
3rd Name: Number:
Casting directors for work in radio, TV & film regularly approach LyT.
Please tick the box below if you would like your child to be put forward for such
castings.

By ticking this box you give the Royal Lyceum Theatre Company permission to show and pass on the
attached photograph of your child and all of the information contained in this form to casting directors if /
when they contact us.
LyT do not guarantee professional opportunities and we do not actively seek work for our members.
 Please return this form to:
LyT, Royal Lyceum Theatre Company, 30b Grindlay Street EDINBURGH EH3 9AX