Child Performance Licence Application
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Child Performance Licence Application
ALL FIELDS MARKED WITH A * ARE REQUIRED ENTRIES
Please Note
This licence specifies the number of days on which a child may perform and the period, not exceeding six months, in which the performance may take place may be granted only to the British Broadcasting Corporation, the Independent Television Authority, a programme contractor within the meaning of section 1(5) of the Television Act 1964 or a body supplying programmes to such a programme contractor to be broadcast by the Independent Television authority or in respect of a child taking part in a performance to be recorded (by whatever means) with a view to its use in a film intended for public exhibition.
Any person who fails to observe any condition subject to which a licence is granted or knowingly or recklessly makes any false statement in or in connection with an application for a licence is liable to a fine not exceeding level 3 on the standard scale (currently �1,000) or imprisonment for a term not exceeding three months or both (section 40 of the Children and Young Persons Act 1963).
Please ask the parents of the child performing to complete Part 2 of the application form and send this in as part of your application.
It is important that this form, duly completed, should be sent to the Business Support Team, Schools and Learning Division, County Hall, High Street, Newport, Isle of Wight, PO30 1UD not less than 21 days before the first performance for which the licence is requested, since the licensing authority may otherwise refuse to grant a licence.
The licence will be processed within 7 days.
Part 1 - to be completed by applicant
Applicants Name
Title
* Forename
Middle name/Initials
* Surname
Occupation
Applicants Address
* Building/house name/number
* Street address
* Town name
County
* Postcode
Telephone number
(include area code)
Email address
Fax
Child's Details
* Forename
Middle name/Initials
* Surname
Activity that you are applying for the child to take part in

Annexe to Part 1
Particulars connected with the performance in which the child is to take part
Name and nature of the performances or activities in respect of which the licence is requested.
Description of the child's part.
Place of the performances or activities in respect of which the licence is requested.

This includes the places at which work on location is to be done
The dates of the performances or activities for which the licence is requested,

or

the number of days, and the period during which it is requested that the child may take part in performances or activities
Time and duration of performances or activities in respect of which the licence is requested.
Approximate duration of the child's appearances in the performances or activities in respect of which the licence is requested.


The amount of night work (if any) for which approval will be sought from the local authority under Regulation 30 of the Children (Performances) Regulations 1968.

Please state the approximate number of days - the approximate duration on each day.
The sums to be earned by the child in taking part in the performances or activities in respect of which the licence is required.


Where a licence is requested in respect of a performance, proposed arrangements for rehearsals taking place during the fourteen days preceding the first performance for which the licence is requested, stating in respect of each rehearsal: (i)the date, (ii)the place and (iii) the approximate duration.
The days or half-days on which leave of absence from school is requested to enable the child to take part in performances or activities for which the licence is requested, or in rehearsals.
Proposed arrangements (if any) under Regulation 10 of the Children (Performances) Regulations 1968 for the education of the child during the period for which the licence is requested:
The name and address of the school to be attended
or
The name, address and qualification of the proposed private teacher
The place where the child will be taught
The proposed course of study
The number of other children to be taught by the private teacher at the same time as the child in respect of whom this application is made, and the sex and age of each such child
Whether the child is to receive the required amount of education in accordance with

Regulation 10(4)(a) or

Regulation 10 (4)(b).
The name of the local authority (if any) which has previously approved the appointment of the private teacher for the purposes of a licence.
The name, address and description of the proposed matron.
The name of the local authority (if any) which has previously approved the appointment of the matron for the purposes of a licence.
The number of other children to be in the charge of the matron during the time when she would be in charge of the child in respect of whom the application is made, and the sex and age of each such child.


The address of the lodgings where the child will live if a licence is granted by reason of which the child has to live elsewhere than at the place where he would otherwise live, the name of the householder and the number of other children who will live in the same lodgings.



Approximate length of time
which the child will spend
travelling to and from the place of performance, rehearsal or activity, and the arrangements (if any) for transport to and from the place of performance, rehearsal or activity.
Name of any other licensing authority to which an application has been made for another child to take part in performances or activities to which this application relates.
Where the application is for a licence for an activity, a statement by the child's parent that the child is medically fit for the proposed activity will be required.
Declaration
I hereby apply for a licence under section 37 of the Children & Young Persons Act 1963 authorising the child named in 3 above to take part in the performance specified in 3 above either on the dates specified in item 4(i) of the Annexe to this Part or on the number of days and during the period specified in item 4(ii) of the Annexe to Part 1.
I certify that to the best of my knowledge the particulars contained in the Annexe to Part 1 are correct.
I attach the following:
the birth certificate of the child or other satisfactory evidence of the child's age

two identical prints (unmounted) of a photograph of the child taken during the six months preceding the date of the application
a copy of the contract, draft contract or other documents containing particulars of the agreement regulating child's appearance in the performances or regulating the activity for which the licence is requested
a declaration under section 38 (1) (a) or (b) of the Children andYoung Persons Act 1963

(may not be applicable)
Part 2  completed by the Parents of the Child




Data Protection Act 1998
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This application may be monitored by the Isle of Wight Council for regulatory, quality control or crime detection purposes. Information from this application will be processed in accordance with the Data Protection Act 1998 for the purpose of processing your particular enquiry/request. The Isle of Wight Council ("the Council") is the data controller. By completing this form you consent to the Council contacting you by email or nominated contact method in relation to your enquiry/request.

The information contained in this application may, in exceptional circumstances, be subject to disclosure to third parties under either the Data Protection Act 1998 or the Freedom of Information Act 2000 to the extent the law allows and in accordance with the Isle of Wight Council's Access to Information Policy . Disclosure will only be made where in all the circumstances it would be fair to do so and in the public interest.



Please note that the Council may process your information in the absence of consent for the purpose of crime prevention or detection so far as is in accordance with the law.



Sometimes we may use your information to keep you informed about services, goods or relevant issues that we believe may be of interest to you. If you wish to receive this information for these purposes please tick this box
To improve the quality of other services that we provide to you the Council wishes to hold your non-sensitive personal information on a secure central database. This will enable all Council services to use this information when they are providing a service to/for you. If you wish your non-sensitive personal information to be held by the Council please tick this box




Date printed: 07/03/2013