DYT Outing Permission Form Section A: DYT Member DetailsMember's Name* First Last Age*Member's Mobile Phone*I am aware that I am representing Dublin Youth Theatre and will do my best to represent them well. I am aware that DYT is an alcohol and drug free organisation for all participants (18+ included).* Yes No Section B: Emergency Contacts and Additional RequirementsEmergency Contact Name* First Last Please provide details of an adult who can be contacted in case of emergency on the day of the event.Emergency Contact Phone*I (Emergency Contact) consent to be contacted in case of emergency.* Please tick to consent Has your child/ward any medical or dietary requirements?* Yes No Please ensure you or your child/ward has an adequate supply of medication.If yes:Is there any other information we need to be aware of that may impact on your/your child/ward's participation?* Yes No If Yes:Please provide details of your family doctor in case they need to be contacted in an emergency.Doctor's Name* Doctor's Phone Number*Doctor's Address*Section C: Consent - I give consent for:To be completed by member if aged over 18 or by a parent/guardian if aged under 18Parent/Guardian name First Last My child/ward to participate in the activity. I am aware that they will be accompanied by an adult leader from DYT.* Yes No My child/ward's/my personal data to be processed in line with DYT's policies.* Yes No The Privacy Statement can be found here.Photographs/Video footage of my child/ward/me to be recorded, stored and used publicly to promote DYT.* Yes No All photos and video will be managed in line DYT's Use of Images Policy.I have disclosed all relevant information with regard to medical conditions and any additional requirements that relate to my child/ward/ me of which I am aware.* Yes No CAPTCHA