Silver & Gold Individual SignUp Form

Our membership benefits have altered and we would like to capture information for existing members that we may not have asked for previously. If you wish to renew your membership or sign up for the first time, please fill in the form below. We will be in touch with a welcome email within 3 working days. Please note we will have a new website from the end of May and a login will be generated for you in June.

Please confirm you have read the eligibility page and are eligible *

• Yes

Which membership are you signing up to? *

• Silver - £ 45.00
• Gold - £ 100.00

Multiple Choice *

• Black
• South Asian
• East Asian
• South East Asian
• Western or Central Asian
• Middle Eastern
• Pacific Islander
• Latino (x)
• Native American (Indian American), Hawaiian or Indigenous
• Mixed Race (including any of the listed ethnicities)

When was the last time you paid for our membership? *

• More than 12 months ago
• Within the last 12 months
• I am a paying for the first time

Please note we have updated our registration form and would like to capture data that will help us support our members.

Are you renew, upgrading or downgrading? *

• Renewing my existing membership
• Renewing and upgrading
• Renewing but downgrading from Gold to Silver

Name *

First

Last

Email *

Contact Number *

Website / URL

Address 1 *

Address 2

Town *

City *

Post Code *

Country *

Gender *

• Male (including Trans Male)
• Female (including Trans female)
• Non-Binary
• Gender Fluid
• Prefer not to say
• Self Identify

Pronouns *

• Him/His/He
• She/Her
• They/Their
• Prefer not to say

Please specify your gender

Age Group *

• 18-20
• 21-25
• 26-29
• 30-39
• 40-49
• 50-59
• 60-69
• 70+

Date of Birth *

DD MONTH YYYY This is for marketing research purposes only and will not be shared with other members or partners. If you prefer not to say you can write the age group you fall into i.e. 20-30 years, 30-40 years etc.

If you have access needs please fill in this field

What is your current employment status? *

• Employed (PAYE)
• Self-employed
• Both employed and self-employed
• Student
• Retired
• Unemployed
• Unable to work temporarily

What was your employment status last year? *

• Employed (PAYE)
• Self-employed
• Both employed and self-employed
• Student
• Retired
• Unemployed
• Unable to work temporarily

Which department do you work in? *

• Admin
• Backstage
• Governance
• Performing
• Theatre Making (producing, directing, writing or devising)
• Other

What is your job title? *

• Theatre/Live Performance Executive Director
• Theatre/Live Performance Executive Producer
• Artistic Director or Creative Director
• Theatre Producer
• Theatre Director
• Choreographer
• Playwright
• Performer
• TV/Film Professional or creative
• Other

Tick all that apply

How much have you earned as a creative, performer, Artistic Director or arts manager in the past 12 months?

• I currently work in a different field
• £0
• £1-£999,99
• £10,000-£20,000
• £21,000-£29,999
• £30,000-£49,000
• £50,000-£74,999
• £75,000-£99,999
• £100,000+
• Prefer not to say

What stage are you in your current job role? *

• Entry-level/emerging
• Middle Management/Mid-Career
• Executive/Senior/Established

Were you at the same stage last year? *

• Yes
• No

Do you have an agent? *

• Yes-for my directing
• Yes-for my writing
• Yes-for my performing
• Yes-for something else
• No

Do you have ambitions to be any of the following? *

• Artistic Director of a theatre or live performance venue
• Artistic Director of a theatre or live performance company
• Trustee or Chair
• Theatre or live performance Executive Director
• General Manager
• I am already in my preferred role but I would like to grow my company or work for a larger organisation
• Other

Tick all that apply

Have you completed any leadership training in the past 3 years? *

• Yes
• No

Which benefits made you want to sign up or renew? *

• Newsletters
• Free and discounted theatre tickets
• Featured on the ADF Network
• Access to ADF Bite-Size
• Discount on training workshops, events, and courses
• Priority booking for industry events
• Discount off advertising
• Access to an online members' forum
• Access to a support platform
• Access to online resources and directories
• Access to an industry directory and other resources
• Invitations to leaders meetings (Gold members only)

How did you hear about us? *

• ADF staff
• Facebook
• Twitter
• Instagram
• Search engine/online research
• Word of Mouth
• Press release
• Another organisation
• One of our current funders (Arts Council England, Esmée Fairbairn Foundation, Garfield Weston Foundation, Aziz Foundation, Paul Hamlyn Foundation)

Please confirm you have read our terms and conditions

• Yes
• No

Total

£ 0.00

Stripe Credit Card *

Card

Name on Card

Submit