Introduction Workshop Booking Form
Friday 20 & Saturday 21April 2018
@ Lyric Hammersmith, King St, London, W6 0QL
I would like to book a place on the ONE DAY INTRODUCTION WORKSHOP (please tick any dates you are available for. If you are selected you will be offered just one date):
Cost (including VAT)
Friday 20April, 10.30am – 5.30pm£85 (Full price)
Saturday 21April, 10.30am – 5.30pm £65 (Concessions*)
*Please send proof of your status with your booking form if you are: A full time student / registered disabled / receiving job seekers allowance. (Delete as appropriate)
Participant details
Name
Address
London Borough
(if applicable)
Mobile Number
E-mail Address
Do you have any access requirements?
Where did you find out
about this workshop?
What do you hope to gain from the workshop?
Have you attended a Frantic Assembly
workshop before?
TERMS AND CONDITIONS
Cancellation policy: A full refund will be given if an applicant cancels their place at least one week before the start date of the course. No refund will be possible if an applicant cancels their place within one week of the date of the workshop (unless the place can be filled). Should Frantic Assembly be forced to cancel the workshop due to circumstances beyond its control the workshop fee will be returned in full.
Please sign to accept terms and conditions:
Signature: ______
Please sign to give permission for documentation (e.g. photos/video recordings) to be taken and to be used in material relating to the Learn and Train programme, such a publicity material, the company’s website and reports:
Signature: ______
Date: ______
CONFIDENTIAL
Monitoring Form for Equal Opportunity Analysis Only
GENDER(Please mark X in the box the applies to you)
F
M
MX / Non-binary
Prefer not to say
GENDER - Is your gender identity different to the sex you were assigned at birth?
(Please mark X in the box the applies to you)
Yes
No
Prefer not to say
ETHNIC BACKGROUND (Please mark X in the box the applies to you)
WHITE
White British
White Irish
Gypsy or Irish Traveller
Any other White background / (please state)
ASIAN / BRITISH ASIAN
Indian
Pakistani
Bangladeshi
Chinese
Any other Asian background / (please state)
BLACK/ BLACK BRITISH
Caribbean
African
Any other Black background / (please state)
MIXED
White/ Black Caribbean
White/ Black African
White/ Asian
Any other mixed/ multiple ethnicities background / (please state)
OTHER ETHNIC GROUP
Arab
Other ethnic group / (please state)
Any other background / (please state)
SEXUAL ORIENTATION
(Please mark X in the box the applies to you)
Bisexual
Gay Man
Gay Woman/ Lesbian
Heterosexual
Prefer not to say
DISABILITY
(Please mark X in the box the applies to you)
No disability
Visual impairment
Hearing impairment/Deaf
Physical disabilities
Cognitive or learning disabilities
Mental health
Other long term/chronic conditions
Prefer not to say
AGE
(Please mark X in the box the applies to you)
0-19 years
20-34 years
35-49 years
50-64 years
65+ years
Prefer not to say
Frantic Assembly collects statistical data on those who work with us, take part in our Learn and Train Programme or see our shows. We do this to help us monitor the diversity of the organisation and its audience. This form will not be kept on file and the data used for statistics only. This is a requirement as an Arts Council National Portfolio Organisation.