BARD YOUTH FEST: TROUPE PARTICIPANT DETAILS

We’re delighted that you’ll be joining us for Bard Youth Fest! Please complete the form below in order to confirm your participation in the program.

Bard Youth Fest- Participant Information

Participant Information

First name *

Last name *

Preferred Pronouns (optional)

Date of birth *

Preferred email address for all Youth Fest communications

Participant Cell *

This will only be used if we need to contact participants urgently (ex. they're arriving independently and are over 15min late). If the participant doesn't have a cell or are uncomfortable providing the number, you can write "N/A", and we will reach out to the emergency contact in instances like these.

Emergency Contact Information

First emergency contact name *

Relationship to participant *

Cell phone *

Second emergency contact name *

Relationship to participant *

Cell phone *

Participant Health & Safety

This information will be kept confidential and will only be referenced in the unlikely event of an emergency.

Please list any health concerns the participant may have (eg. asthma, diabetes, epilepsy etc) *

Please list any allergies the participant has, the severity of the reaction and any special instructions *

Does the participant carry an epi-pen? *

Yes

If yes, do they know how to administer it?

Yes

Please list any medications the participant is currently taking, and please specify if they will be bringing this medication to camp.

Please note any access needs you'd like us to be aware of (physical, mental, social, or emotional).

Or, if you'd prefer, please email [email protected] and let us know how we can best support the participant.

If you are human, leave this field blank.

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Participant Information

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Participant Health & Safety