Course Enrolment | Italia Conti

Section 1: Audition Booking

Which programme would you like to audition for? *

Musical TheatreDance

Participant Age Group *

Please select the age group the participant will be in at the time of the course.

12–19

Auditionee's first name *

Auditionee's surname *

Auditionee's age at the time of the application *

Auditionee's date of birth *

Participant sex *

FemaleMalePrefer not to sayOther

Gender identity and support information

Is there anything you would like us to know about the participant's gender identity, name, pronouns or support needs?

Section 3: Participant Contact Details

Email address *

Mobile number *

House number / Street name (Address line 1) *

Address line 2 *

Town / City *

County

Postcode *

Country (international participants only)

Section 4: Emergency Contact 1

Name *

Relationship to participant *

Mobile number *

Email address *

Section 5: Emergency Contact 2

Name *

Relationship to participant *

Mobile number *

Email address *

Section 6: Health, Medical and Access Information

Medical information

Does the participant have any allergies, medical conditions, injuries or health information we should be aware of? *

YesNo

If yes, please provide details so we can support the participant safely.*

Access and support needs

Does the participant have any access, learning or support needs we should be aware of? *

YesNo

If yes, please provide details so we can support the participant safely.*

Section 8: Booking Confirmation

Please confirm each of the following before submitting your enrolment.

I have read the course information, including location and arrival details.I have shared any relevant medical, access or support information that Italia Conti should be aware of.I have read and agree to the course terms and conditions.I would like to hear from Italia Conti about future courses, events, performances and opportunities.