Cast Application

  • Applicant Details
  • Group, Audition and Health Details
  • Consent of Use

Thank for for taking the time and effort involved to be a cast member of Darling Downs Revue. As you fill out the form, depending on your answers, the instructions and questions may change. Please fill out every question you are presented with and note that the questions with RED labels are required. Thanks. Darling Downs Revue production team.

First Name

Surname

Prefered Name

Date of Birth

You have 2013 characters left.

Gender

Address

Town/City

Postcode

You have 4 Characters left.

Cast Mobile Phone

Cast Email Address

Is Cast Member over 18 Years Old


Parent/Guardian 1 Details

Next of Kin 1 Details

Name

Mobile Ph No.

Facebook Name

Occupation

Email

Parent/Guardian 2 Details

Next of Kin 2 Details

Name

Mobile Ph No.

Facebook Name

Occupation

Email

Concessions

Reason For Concession

School or Occupation

Current Year Level

Add Details of Weekend Sports or Work

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Scout or Guide Group

Membership Number

Section

Section or Crew Leader

Leader Mobile Phone

Leader Email Address

Do You Have a Blue Card

Issued By

Blue Card Number

I am sorry, but due to Scouts Queensland policies, you will need to apply and receive a 'Working With Children' Blue card before you can complete this application. Once you have received your card, you can re-apply. Please ask your Section or Group Leader for help applying for one.

Expiry Date

Applicant's Health Details

Medicare Number

Date of Last Tetanus Injection

Details of any Health, Diet, Physical or Behavioral Issues requiring Attention

Details of any Medication and Dosage that will be carried.

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Signed By Cast Member

Date

If Under 18 Years of Age

(No application form for Under 18 years of age will be accepted without the Parent's/Guardian's Signature.)
I hereby give my approval for my child to participate in 'Darling Downs Revue' as per the conditions outlined in the Information Pamphlet, the Application Form and the Consent of Use of Performance Statement (as above).
In addition, I give my authority as per the following statement:
'In the event of injury to the Youth Member, where reasonable attempts to contact me are unsuccessful, I give authority for such medical treatment to be given to the Youth Member as is recommended by the Medical Practitioner and seems, in the opinion of the leader in charge, to be reasonable and appropriate. I undertake to be responsible for any fees or charges with respect to that treatment and to pay those costs on demand by the Association.'
My signature bears witness and understanding to these conditions.

Signed By Parent/Guardian 1

Signed By Parent/Guardian 2

Reason no Second Signature

Date Signature Parent/Guardian 1

Date Signature Parent/Guardian 2

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