Olly Irwin Award Application Form |

Olly Irwin Award application form

"*" indicates required fields

To apply for the Olly Irwin Award, please complete the form below. To qualify for the Award you must be aged between 15 - 19 and live in Worcestershire.

The deadline for applications is 14 February 2025 .

Applicant details

Name*

First Last

Date of birth*

Address*

Street Address Address Line 2 City County Post code

Tell us what this award would mean to you and explain why you want it.

e.g. How long have you been playing? What has motivated you to apply?

Parent / carer contact information

If you are under 18 your partner or guardian will need to complete this section.

Name

First Last

This email will be used for all communication regarding the Olly Irwin Award.

Phone number

Your privacy

This section is to be completed by a parent or guardian.

Data collection*

The information you enter into this form will be collected and stored by Severn Arts. Please tick the tick box below to confirm you understand.

I understand

We will always store your personal details securely. We’ll use them to provide the service that you have requested, and communicate with you in the way(s) that you have agreed to. You can change your mind at any time by contacting us at [email protected] / by clicking the unsubscribe link in the Mailchimp emails you receive from us. Your data may also be used for analysis purposes, to help us provide the best service possible. For full details see our Privacy Policy.