Play in a Week - Funded Place - Meal Options

Play in a Week – Funded Place (1)

Name of person filling in this form(Required)

First Last

Phone Number(Required)

Email(Required)

Name of Child(Required)

First Last

Ethnicity (if happy to share)

Prefer to self-describe? Please let us know below

Tuesday Lunch Options(Required)

Wednesday Lunch Options(Required)

Thursday Lunch Options(Required)

Friday Lunch Options(Required)

Is the participant allergic to anything (e.g. antibiotics, elastoplast, aspirin or any other medicines, any particular food, etc.)?

Have you been to the Mercury Theatre before?

Yes – to watch a show

Yes – to take part in a workshop or other creative engagement activities

Do you give us permission to photograph your child and use on the Mercury's social media and advertisements?(Required)