Audition Applications Audition Applications Step 1 of 6 - Applicant Details 16% Applicant Details Name First Last DOB Age Current school Year at school in 2018 Height (cm) How would you like to audition?* I am attending the auditions in person I am uploading my audition video Video Link Please insert the link to your video, this maybe in the form or a YouTube or Vimeo Link. Medical Details Is there any history of health conditions – any prior physical or mental health illness? Please list damage, body part, treatment, any on-going issues. Is the student on any current medications? Please list Please advise what medication is for All medical information remains strictly confidential and will not be used against the student during the selection process. References Currently participates in (Circus, dance, martial arts, etc) Name of Reference (Trainer or teacher) Reference contact details (phone/email) Why do you and your family want to join the Flying Fruit Fly Circus? Parents, please encourage your child to answer this question Primary Contact Primary Parent/Guardian First Last Home Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Mobile Email Secondary Contact Secondary Parent/Guardian First Last Home Address Street Address City State / Province / Region ZIP / Postal Code Mobile Email Parent / Guardian Consent I fully understand the nature of the audition and I give my consent for the applicant to participate knowing and accepting that the FFFC ensures that activities are carried out responsibly and with attention to safety. I understand that I am responsible to pay all medical and/or ambulance costs if necessary, which may occur as a result of my child’s actions to him/herself during this audition process. I also give my permission for persons authorised by the FFFC to seek appropriate medical aid in the event that my child is injured. I shall, on demand, indemnify and keep indemnified the FFFC against all reasonable costs, charges, liabilities, outgoings and payments which the FFFC pays, is liable to pay, or sustains in any way arising from any circumstances which may occur during my child’s attendance at the audition process. Agreement I understand and agree to the Parent / Guardian consent informtion above.