Create4Adelaide Youth Ambassador Form

Full Name *

Preferred name *

Pronouns *

Birthdate *

Home address *

Phone number *

Do you have a current Working With Children's Check? (if you are over 18) *

Yes, I have one
No, I do not have one
I am under 18

Parent/Guardian name (if under 18)

Parent/Guardian Email (if under 18)

Parent/Guardian number (if under 18)

Name of the educational institution that you attend *

Social media handles (if you feel comfortable sharing)

Do you consent to being photographed and filmed by Adelaide Festival? *

Yes
No

Name of your emergency contact *

What is your emergency contact's relationship to you? *

Emergency contact phone number *

Do you have any access requirements that we should be aware of?

Is there anything else that we should know?

Create4Adelaide Youth Ambassador Form content