Creatives Registration - Alt Valley Community Trust

Why Become a Member?

By becoming a member of Alt Valley Creatives, you gain access to a wide range of opportunities to enhance your creative journey:

✅ Collaborate with creative professionals and develop skills across performance, music, production and the arts.

✅ Receive support, guidance and progression opportunities as your interests and confidence develop.

✅ Access creative resources and opportunities including productions, workshops, studio activity, portfolio development and audition preparation.

✅ Take part in film, music, singing, dance, drama and other creative projects across Alt Valley Creatives.

Membership - £10/month

Register Your Interest

Parent/Guardian Information

Full Name *

Email Address *

Contact NumberEnter your contact number

Emergency Contact Name & RelationshipEnter your emergency contact name & relationship

Emergency Contact NumberEnter your emergency contact number

Young Person's Information

Young Person's Name *

Age *What is your age?

Date of Birth *

What is your D.o.B?

Address

Young Person's Contact No. (if applicable):

Young Person's Email (if applicable):

Centre / Venue

Interests

Areas of Interest

DramaDanceMusicVisual ArtsCreative WritingOther

Tell us what you would like to do?

Special Requirements

Anything We Should Know?

Please tell us anything that will help us support the young person safely and inclusively. This may include allergies, medical information, additional needs, access requirements or other relevant information. Information will be treated sensitively and shared only where necessary for safe delivery.

Allergies: *YESNO

Medical / additional support needs: *YESNO

Medication required during sessions: *YESNOIf yes, please give details below (for example inhaler, EpiPen or other medication).

Details / anything you would like us to know:

Membership Fee and Financial Hardship

Membership Options

Alt Valley Creatives membership is £10 per month. Membership contributions help us provide resources, creative opportunities, workshops and productions. We are committed to ensuring that financial circumstances do not prevent a young person from taking part. Where the £10 monthly fee would cause financial hardship, membership can be reduced or waived at the discretion of Alt Valley Community Trust. Please speak to a member of the team in confidence - participation will not be affected.

Payment MethodPayPalCardCashHardship arrangement agreed

Making Your Payment

Membership payments can be made using the PayPal options above this form

Please include the young person's full name when completing the payment so that we can identify payments correctly and keep membership records up to date.

Permissions and Parent/ Guardian Consent

I give consent for my child / young person to participate in Alt Valley Creatives activities.

I consent to receive communications from Alt Valley Creatives regarding sessions, activities, productions and updates.

I consent to photographs and video being taken during Alt Valley Creatives activities for programme evidence, celebration and publicity *YesNo

I confirm that the information provided on this form is accurate and that I will inform Alt Valley Creatives of any important changes.

Print Parent/Guardian Full Name

Date

Registration