SPID Theatre

FAR FAR AWAY is this year inspired by the Science Museum Group Collection with a Climate Change theme.

To register for FAR FAR AWAY web sessions, please follow this two step process:

STEP 1 = Read and sign the guidelines and parental consent form. If you have any doubts, please contact us. Mobile: 0790 386 1674 - Email: youth@spidtheatre.com

STEP 2 = Complete this sign up form below as a parent, tutor or participant.

* indicates required

Name: Email: Comment:

Parent / Guardian's Full Name *

Parent / Guardian's email address *

Young person's First Name

Young person's Last Name

Young person's date of birth *

Young person's preferred / nickname

Home address *

Street Address Address Line 2 City State/Prov/Region Postal/Zip Country

Next of kin / Emergency contact (full name) *

Relationship to participant(s)

Primary telephone number *

Secondary telephone number *

Home telephone number (if applicable)

School

Borough of school

Type of schooling (state, private, home)

Medical info and anything you think we should know

Which of the following do you have access to?

Laptop or home computer
Smart phone
iPad or Tablet
Paper and Pen

Photo & video release. Please tick appropriately

I give consent for my young person to be photographed/filmed by SPID
I give consent for SPID to use film/photography on social media
I give consent for SPID to share film/photography with SCMG
I understand that SCMG is The Science Museum who are collaborators on this project

I attest that...

I have read the SPID on the Web Guidelines and signed the Parental Consent (see top of document)

FAR FAR AWAY SIGN-UP FORM