Performing Rights Licence Application

We wish to perform by Caroline Hoile
Name of producer/organiser: Signature:
At (school/organisation):
Address:





Postcode:
Tel. No.: Email:
Number of performances, with dates:
Expected audience numbers (excluding schoolchildren) for each performance:
Will admission fee be charged? YES/NO
If YES, please give ticket prices:
Are you making a sound recording? YES/NO
If YES, how many copies will you be making?
Are you making a video recording? YES/NO
If YES, how many copies will you be making?