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The Austentatious Ball Application Form
Individual Registration
This is the individual application form for The Austentatious Ball.
Participant Details
Please fill out all the details below in order to register for The Austentatious Ball (9 August 2025). Please note: this is an independent, community event and is not affiliated with, nor related to, Austentatious, the popular, improvised stage show
Name of Participant
(Required)
First Name
Surname
Chosen pronouns (e.g she/her, they/them etc.)
Date of Birth
(Required)
DD slash MM slash YYYY
Ethnic Origin
(Required)
Please select
White British
White Irish
Gypsy or Irish Traveller
White & Black African
White & Black Caribbean
White & Asian
Any other Mixed background
Indian
Pakistani
Bangladeshi
Chinese
Any other Asian background
Black African
Black Caribbean
Any other Black background
Arab
Any other Ethnic group
Prefer not to say
Not Known
Gender Identifies with
(Required)
Female
Male
Non-Binary
Prefer not to say
Other
Main contact forename
(Required)
For someone over the age of 18.
Main contact surname
(Required)
For someone over the age of 18.
Main contact email address
(Required)
For someone over the age of 18.
Main contact phone number
(Required)
For someone over the age of 18.
Address
(Required)
Street Address
Address Line 2
City
Postcode
Does the participant identify as disabled?
(Required)
Yes
No
Please provide details of any medical conditions, disabilities, learning or access needs.
Are you happy for us to take photos/videos of the participant for promotional and archive purposes?
(Required)
Yes
No
Please pick an online session
Tuesday 22nd July 2025: 5:30pm - 7pm
Tuesday 22nd July 2025: 7:30pm - 9pm
Thursday 24th July 2025: 5:30pm - 7pm
Thursday 24th July 2025: 7:30pm - 9pm
Monitoring Data
Please note the information below helps us to review our demographic of participants.
Does the participant receive FSM, Bursary, Scholarship, Universal Credit outside of Mayflower Theatre? (Please select all that apply) If any of the below are selected you may be eligible for a bursary.
(Required)
Free School Meals
Bursary
Scholarship
Universal Credit
Other
None of the above
Prefer not to say
Is the participant a carer?
(Required)
Yes
No
Prefer not to say
Emergency Contact Details
Emergency Contact 1
(Required)
Phone
(Required)
Emergency Contact 2
(Required)
Phone
(Required)
Agreement
(Required)
I consent to this information being processed by Mayflower, Zoielogic Dance Theatre and their web developers, Substrakt
Phone
This field is for validation purposes and should be left unchanged.