I Would Like to Book a Place on the ONE DAY YOUNG PEOPLE S MASTERCLASS

I Would Like to Book a Place on the ONE DAY YOUNG PEOPLE S MASTERCLASS

Young People’s Masterclass Booking Form
Friday 28 and Saturday 29 July 2017

I would like to book a place on the ONE DAY YOUNG PEOPLE’S MASTERCLASS

Stratford Circus,Theatre Square, London E15 1BX

Please tick one date:

Friday 28 July (ages 14-18), 10.00am – 5.00pm

Saturday 29 July (ages 19-25), 10.00am – 5.00pm

Cost (including VAT) = £60

Participant details

Name

Address

London Borough

(if applicable)

Date of BirthAge

Mobile Number and Home Number

E-mail Address

Let us know if you have any special needs or disabilities so that we can support you in the workshop

Where did you find out

about this workshop?

What do you hope to gain

from the workshop?

No previous experience is necessary, but please let us know if you have taken part in any arts activities before, and if so what?

Have you had a

Frantic Assembly

workshop in your school/college before?

If so, which school/college?

TERMS AND CONDITIONS

As this workshop is for young people aged 14 – 18, we will require signed parent/carer consent and emergency contact details from every participant.

If you are selected, we will send you an emergency contact and consent form, whichwill need to be completed and sent back to us before the workshop. It is essential that we receive this in order for you to take part in the workshop.

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:______

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.

Please tick as appropriate.

1 Gender:

F
M
Non-binary
Prefer not to say

Is your gender identity different to the sex you were assigned at birth?

Y / N / Prefer not to say

2 Ethnic Background

White: / British
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: / African
Caribbean
Any other Black background (please state)
Mixed heritage: / White / Black Caribbean
White / Black African
White / Asian
Any other mixed/multiple ethnicities (please state)
Other: / Arab
Any other ethnic group (please state)
Prefer not to say

3Disability

Visual impairment
Hearing impairment/Deaf
Physical disabilities
Cognitive or learning disabilities
Mental health
Other long term/chronic conditions
Prefer not to say