Participant Information Form
Thank you for your interest in The Lord of the Flies Project. Please complete this form in full and
bring it with you to the workshop.
About You
Name:
Gender: Male
Age:
Height:
Other Names/surnames you are known by:
Date of Birth:
Address:
Postcode:
Email Address:
Contact Number:
Nationality:
Medical Conditions:
Date/Location of Lord of the Flies Workshop Attending (If Known):
*If you are applying to attend a workshop - See page 4*
Attach Clear Headshot Photo
About Your Supporting Adult(s)
Adult Mentor
Each applicant should identify an adult mentor who will be able to support them through their
journey through the Lord of The Flies Project. This could be parent/guardian/dance leader/youth
worker.
Supporting Adult Name:
Supporting Adult Contact Number:
Supporting Adult Email Address:
Relationship to participant:
Next of Kin (if different from above)
Parent/Guardian Name:
Relationship to participant:
Parent/Guardian Email Address:
Parent/Guardian Number:
School/College/Uni/Support Organisation (for child performers licensing purposes if selected for
the performance)
Name of School / College/ Uni / Support Organisation:
Contact Name:
Contact Number:
Contact Email:
Education Authority Area if under 16:
More About You!
How did you hear about the project?
Why would you like to be involved in the
project?
Any previous experience of dance? If yes what
and where?
Have you been in any of The Lowry projects
before? If yes list them.
Tell us about any performances you’ve been
involved in elsewhere……
Are you a member of a dance company? If yes
what is it called?
Anything else you would like to tell us about
yourself in relation your involvement in the arts
and performing?
Lord of the Flies Project
Photography and Filming Permission
(For participants under 18 - to be completed by parent or guardian)
I hereby give my permission for ____________________________ to be involved in Re:Bourne’s
Lord Of The Flies Project at The Lowry and to have his/her photograph taken and to be filmed during
the project, and for his/her image to be used accordingly by The Lowry/Re:Bourne for publicity,
promotion, evaluation and advocacy purposes. Partner organisations involved in the project may
also request use of images as may external media organisations.
Signed (Under 18 - Parent/Guardian) ___________________________________________
Signed (Over 18) ___________________________________________
Print Name____________________________________________
Date______________
LOTF Workshops
Lord of the Flies Workshops, Weekly Sessions:
We are delivering weekly workshops every Friday evening at The Lowry from 5pm – 7pm until the
end of January 2014. You can book on to these workshops via The Lowry Box Office on 0843 208
6000.
Lord of the Flies Open Days:
Lord of the Flies will be delivering Open Days across the North West. You can book on to these
workshops via The Lowry Box Office on 0843 208 6000 or online at www.thelowry.com
Greater Manchester, The Lowry, Sunday 12th January 2014, 10-1pm and 2-5pm
Salford, The University of Salford, Saturday 18th January 2014, 10-1pm and 2-5pm
Cheshire, Eaton Bank Academy, Saturday 25th January 2014, 10-1pm and 2-5pm
Warrington, Pyramid & Parr Hall, Sunday 26th January 2014, 10-1pm and 2-5pm
Cumbria, The Brewery Arts Centre (TBC)
Lancashire (TBC)
We only need to see you once: Please only book onto one of Open Day workshops.
Are you from Merseyside?
Did you know that the Lord of the Flies Project is also happening in Merseyside in Autumn 2014 –
delivered by The Liverpool Empire Theatre? Please tick the box if you are from Merseyside and
would like to hear more from The Liverpool Empire Theatre about this project. 
For Internal use only
Workshop criteria:
Participant Number
Workshop Attended
Training
Movement Energy
Performance quality
Creativity
Enthusiasm
Group Work
Commitment
General Comments
Dates for your Diary
Please keep this page and make a note of these diary dates in the event that you are selected for
the production.
Contact Jennifer Ward and Luke Saville at [email protected] if you have any questions
about the project.
Drop in Workshops
Open Days
Audition
Evenings
Weekend rehearsals
Weekly
TBC
th
8 /9th
21/28
1st/2nd
From 15 Nov
January
February
February
March
8th/9th
15th/16th
March
March
22nd
Evening rehearsals
March
th
th
th
March
th
th
th
March
10 /11 /12
17 /18 /19
Full company rehearsals
Show dates
24th/25th/26th/27th/28th/29th/30th/31st/1st
nd
rd
th
2 /3 /4 /5
th
March/April
April