East By South East Comedy Search

Personal Details

First Name:*

Last Name:*

Date of Birth (dd/mm/yyyy):*

Contact Details

Address Line 1:*

Address Line 2:

Address Line 3

Town/City:*

County*

Postcode*

Email:*

Home Telephone:

Mobile:

Showcase Submission

Which show are you applying for (you can choose more than one)?*

Boroughs United
I'm in 3
New Act of the Year
Play the Empire

What category are you applying for?*

Title of Submission:

Sum up submission in a sentence:

Your document/file to be submitted:*-->

Which London Borough do you live in?*

Which London Borough do you work or study in?*

Unless you are singing a cover song, please tick to confirm the work is your own and you are entitled to use it publicly:*

Please tick if you are happy for us to have non-exclusive rights for the non-commercial use of your work in any medium, in any territory and in perpetuity. This means that this is your work, you own it and you can do what you want with it and you give us permission to use your work in these events and for future activities presented by: The Crib, London Borough of Hackney, Hackney Empire Limited, Boroughs United, I'm In, New Act of the Year, East by South East and Play The Empire. We can use your work in print, film, audio, electronically and any other medium at any time anywhere in the world. You do not give us permission to sell or receive any form of payment for your work. We must ask you in advance and you must give us written permission to do so:

Please tick if you are happy for us to contact you about future events, projects or opportunities presented by The Crib, London Borough of Hackney, Hackney Empire Limited, Boroughs United, I'm In, New Act of the Year, East by South East and Play The Empire:

Monitoring Information

We are obliged to collect your gender and ethnicity information as a requirement of the funding for this project. Please help us to satisfy funding requirements and continue running projects like this.

Do you have a disability?

Other ethnic group:

Other religion, religious denomination or body:

Gender:

Are you currently:

We'd like to keep in touch with you. Please tick where appropriate:

East by South East and Play the Empire
New Act of the Year
Boroughs United
I'm in and Discover Young Hackney

Hackney Empire including special offers

I would like to receive information about Hackney Empire's free theatre ticket for under 26's A Night Less Ordinary
I would like to receive information from Hackney Empire's partners and other art organisations

Please only click submit once. If you have submitted a large file, there may be a long wait