CBBC is currently looking for children aged 8-14yrs old and their families to take part in an upcoming Family Entertainment Show ARE YOU A MASSIVE SUPERFAN OF A POPSTAR, BAND OR CELEBRITY? HAVE YOU GOT A REALLY COOL OR EMBARRASSING FRIEND OR FAMILY MEMBER? WOULD YOU LIKE TO GIVE SOMEONE THE SURPRISE OF THEIR LIFE? IF YOU HAVE ANSWERED YES TO ANY OF THE ABOVE QUESTIONS THEN WE WANT TO HEAR FROM YOU!!! IF YOU WANT TO APPLY YOU NEED TO: Get Permission Make sure you have permission from your parent/guardian before sending us any personal details. Fill out the attached application form We need to find out details about you and why you think you should appear on the programme. Please fill out the application form and get your parent/guardian to sign the consent slip. Please also try to include a recent photograph of yourself/family (which sadly we can’t return) Application Form Your completed application must include the signed consent slip. Please send to: CBBC Family Entertainment Show 2nd Floor Bridge House BBC MediaCity UK Salford M50 2BH Or scan and email it to: [email protected] We cannot guarantee you will be contacted after submitting an application. Applicants who are contacted are not guaranteed a place on any CBBC show. Thank you and good luck! bbc.co.uk/cbbc Page 1 of 8 PARENTAL CONSENT FORM To the Parent or Guardian: Your child would like to apply to take part in a CBBC series. The show is currently scheduled to be transmitted on the CBBC Channel sometime between December 2015 and April 2016. For the application to be considered your child must be aged between 8 and 14 years old and we need to receive both a completed questionnaire and signed parental consent form. These should all be returned as soon as possible for us to consider the application. The applicants we wish to consider for the programme will then be contacted by a member of the production team. If you have not heard from us by October 2015 then unfortunately it means that your child has not been selected. The closing date for applicants is Friday 28th August 2015. All information supplied in this application form will be treated as confidential. It will be stored securely and will be used only in relation to this production and will not be used for any other purpose without your permission. Involvement in this programme will depend on obtaining the necessary permissions or licence as required. Applicants must not be employees of, or close relatives of employees of, the BBC. All applicants must be UK residents. All the information will be treated in accordance with the BBC’s Privacy Policy, which you can see online at http://www.bbc.co.uk/privacy/ If successful we will call you and not your child for selection to the next stage. The BBC operates a Child Protection Policy and all our staff comply with it. (The BBC’s Child Protection Policy can be viewed at http://www.bbc.co.uk/aboutthebbc/insidethebbc/howwework/policiesandguidelines/ch ild_protection.html) bbc.co.uk/cbbc Page 2 of 8 Does your child (or any family member) have any medical conditions (e.g. asthma, allergies, diabetes, epilepsy etc.) that we should be made aware of? (This does not necessarily preclude those family members from taking part.) YES [ ] NO [ ] If yes please give details: ...................................................................................................................................... ...................................................................................................................................... Your relationship to the child who has made this application: ...................................... Please declare if you or your child is a close relative of a BBC employee. ...................................................................................................................................... I confirm that I have given consent for this application to be considered and I am happy for my family to take part. I am the child’s parent / guardian (delete as appropriate) SIGNED: …..................................................... DATE: ................................................... NAME OF PARENT/GUARDIAN (print): ....................................................................... ADDRESS: ................................................................................................................... ...................................................................................................................................... ...................................................................................................................................... TELEPHONE: .............................................................................................................. MOBILE:........................................................................................................................ bbc.co.uk/cbbc Page 3 of 8 ABOUT YOU (to be filled in by the child applying) PLEASE FILL IN ALL THE SECTIONS. Name: Date of Birth and Age: Home Town: Parent’s/Guardian’s Names: Parent’s/Guardian’s contact telephone number: Parent’s/Guardian’s email address: Describe yourself in three words. Tell us about your hobbies/interests. Are you a massive SUPER FAN of a Pop Star/Band or Celebrity If so, who and why? What would you do if you met them? bbc.co.uk/cbbc Page 4 of 8 Is anyone else you know a super fan of a celebrity? (e.g. Mum, Dad, Best Friend) Tell us about your family. Who do you live with? Who is the most annoying and why? Who is the funniest and why? Who is the most embarrassing and why? Who is the practical joker and why? Do you or any member of your family have any phobias? Give us some examples. bbc.co.uk/cbbc Page 5 of 8 Do you want to get your own back on a family member? Why and what would you do to them? Do you want to surprise a friend/family member? Is so, who and what would you do? What is your favourite CBBC show and why? Who is your favourite CBBC Presenter and why? bbc.co.uk/cbbc Page 6 of 8 Who would you love to meet and why? Can you do any impressions of famous people? If so, who? Who do you think is the most annoying celebrity and why? What is the most embarrassing thing that YOU’VE ever done? Tell us something funny that’s happened to you, a friend or a member of your family… What is your favourite possession? bbc.co.uk/cbbc Page 7 of 8 Have you, or anyone in your family been on TV? If yes, what was the programme and when was it? Do you have any holidays booked in July, August or September? If you do, please write the dates here Is there anything else you would like to tell us about you, your family or your interests? bbc.co.uk/cbbc Page 8 of 8
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