Membership Response

MEMBERSHIP RESPONSE FORM
This form must be completed by Monday 10 January 2022. If you accept your offer, you will be sent further rehearsal information by late-January 2022. If you decline your offer, your position within our ensembles will be offered to another person – with this in mind we kindly request that you complete this form as soon as possible.

Member's First Name

Member's Last Name

Member's Contact Email

Member's Age as of 1 January 2022

Membership Offer Response

Guardian's First Name

Guardian's Last Name

Guardian's Contact Email

Guardian's First Name (optional)

Guardian's Last Name (optional)

Guardian's Contact Email (optional)

EMERGENCY CONTACT DETAILS
Please provide an Emergency Contact for the prospective WAYO member. This person will only be contacted:
- In case of emergency if the Guardian listed above is unreachable
OR
- If the prospective member is over 18 and has not provided a Guardian's contact details, or if the Guardian listed is unreachable.

Emergency Contact's First Name

Emergency Contact's Last Name

Emergency Contact's Phone Number

Relationship to prospective WAYO member (eg: family member, friend, partner)

DECLARATION

Signature of Member (or Guardian)

Signature of Guardian