To register for Centre Stage 2019 please complete the form below and make your £50 registration payment (this counts towards your fundraising target). Welcome aboard!

Step 1 - Band/Act Details

Band/Act Name
School/College (if applicable)
Band/Act Address

Step 2 - Parent/Guardian Contact Details (if under 18)

Parent/Guardian Name
Parent/Guardian Email
Parent/Guardian Direct Number
Parent/Guardian Name
Parent/Guardian Email
Parent/Guardian Direct Number

Step 3 - Teacher Contact Details (if applicable)

Teacher Name
Teacher Email

Step 4 - Performers (Please provide as much information as possible)

Names/Dates of Birth/Mobiles/Emails

Step 5 - Fundraising

We propose to raise our target by fundraising in the following ways
If you are both fundraising, please give details here

Step 6 - Updates from Martin House

We’d love to keep you updated about our work. This may include supporter newsletters and updates, appeals and fundraising activities, events, volunteering opportunities and shop products. Your details will only be used by Martin House – we’ll never share your information with other organisations to use for their own marketing purposes.

Please tell us how you would like to hear from us – please tick Yes or No for every option. By ticking these boxes you confirm you're 18 or over.

By Post

By Email

By Text

By Phone


Should you wish to change your communication preferences please email: or call our team on 01937 844569

Information about how we use your personal data is set out in our privacy notice, published at: