Apply For a Chaperone Licence

A chaperone is responsible for the supervision of a child who is taking part in entertainment.

West Berkshire is committed to safeguarding and promoting the welfare of children.

In line with safer recruitment procedures this application must be supported by two references. The references must be provided by someone who has known you for at least two years. References will not be accepted by anyone who is related to you including partners, licensed chaperones or anyone who is involved in the same production.

1. Friendly Url
2. Friendly Url
4. Unique Reference Number
All information given in this application form will be treated in confidence, other than information relating to criminal offences.
Applicant details
1. Name
  1. Title
  2. Other Title
  3. First Name*
  4. Last Name*
2. 1. Date of Birth*
  2. dd/mm/yyyy
3. Address
  1. Address Postcode
    
    Postcode
    
    Address
  2. Full address*
4. 1. Email*
5. 1. Telephone / Mobile
  3. Numbers, spaces, + , ( , and ) are all valid characters
6. 1. Upload photograph - please attach a passport-style photograph*
1. * Please correct any of the validation issues highlighted above

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Apply For a Chaperone Licence

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