Confidential
Application for an Exemption from the Licensing Procedures
Children and Young Person Act 1963, s.37
Children (Performance and Activities) (England) Regulations 2014
A Child Performance Exemption letter may be provided by the local authority subject to the following: -
- No payment other than offsetting expenses in respect of the child taking part in the performance, is made to the child or another person
- No child names in the application has performed in the six months preceding the performance on more than three days
- No child names in the application shall be absent from school due to taking part in a performance or rehearsal
- The activity does not constitute a performance within the meaning of Section 37 (2) of the Children and Young Persons Act 1963.
Note – it is important that this completed form must reach the licensing authority at least twenty one working days before the first performance for which the licence is requested, since the licensing authority may otherwise refuse to grant a licence in accordance with Regulation (2) of the Children (Performance and Activities) (England) Regulations 2014.
DETAILS OF PERFORMANCEName of the performance or activity:
Date/s of the performance or activity:
Address of venue:
Postcode:
Time/s of performance/s (matinée)
Time/s of performance/s (evening) / Start:
Start: / Finish:
Finish:
Will the children require time off school? / Yes / No
Will a charge be made to child for performing (other than expenses)? / Yes / No
DETAILS OF PRODUCER(Applicant)
Name:
Name of Organisation:
Address:
Postcode:
Telephone Number:
Email:
Please note that the producer(applicant) will be the person legally responsibility for this application. The informant can provide information but this must come via the producer.
DETAILS OF INFORMANT
(if different from above)
Name:
Name of Organisation:
Address:
Postcode:
Telephone Number:
Email:
Please list name/s of chaperone/s overleaf:
Please list child(ren)’s name/s overleaf:
I understand that if an exemption is granted, it will be subject to the restrictions laid down in The Children (Performances and Activities) (England) Regulations 2014 and to such other conditions as the licensing authority may impose under the said regulations.
Signature of Producer: / Date:
Full name (print):
Return the completed form by email wherever possible to:
Children in Entertainment
Targeted Services
Staffordshire County Council
Tipping Street
Stafford
ST16 2DH
Tel: 01785 278927/277409 / 276 937
Names of Chaperones: / Address: / Name of Local Authority Registered With:Names of Children: / Date of Birth: / Address:
Names of Children: / Date of Birth: / Address:
V2 Nov 17