Application for Exemption from the Licensing Procedures
(Section 37 – Children & Young Persons Act 1963 as amended in 1998
Children (Performances) Regulations 2014

Some performances are exempt from the licensing procedure. If there is no absence from school and the length of the performance is 4 days or less an exception could be granted providing one of the following criteria is met:

•	The child will not have performed more than 4 days in the 6 months preceding ( and including) the performance: or
•	The performance is given under arrangements made by school OR made by a body of persons approved by the Secretary of State/Local Authority in whose area the performance takes place, and no payment is made to the child or any other person, except for defraying expenses.

Where an Exemption is granted the following conditions would need to be observed

1.	No child should be absent from school as a result of participation in a performance unless specific agreement has been obtained from the Head Teacher. Regulation 10
2.	Children must be properly supervised by an adult who should be responsible for a maximum of 12 children.   
               Regulation 12
3.	No child may remain at the place of performance no later than 11.00pm.

Please complete and return this form to the address below:
Data Protection Act 1998 – The information provided will be used to check and confirm whether an exemption can be granted for each child participating in this performance/activity.

Name of Activity/Production
		
Date(s) of Activity/Production
		Date(s) child is expected to perform		
Place of Performance/Activity
		
Time of performance
		
Name(s) of Supervising Adult(s)
		
Is the performance/activity to be undertaken under arrangements of school?
		If yes, please supply written confirmation that school supports this as an educational activity.	
Have you been issued with a Body of Person Exemption Certificate?		If yes, please supply copy of certificate.	

Please Enter Child’s/Children’s Details Overleaf

I understand that if an exemption is granted it will be subject to the restrictions and conditions laid down in the Children (Performance) Regulations 2014 and to such other conditions as the licensing authority may impose under the said regulations.

Signature:____________________________________________   Date:_____________________________________
                                                                              Applicant
Full Name: ______________________________________________________________________________________

Address:________________________________________________________________________________________

________________________________________________________ email : _________________________________ 

Telephone No: _____________________________