Advanced Training Programme Booking Form
Tuesday 3, Wednesday 4, Thursday 5 & Friday 6 November 2015
10.30am – 5.30pm daily
Hackney Showroom, Hackney Downs Studios, Amhurst Terrace, London, E8 2BT
To apply for a place please return this form to workshops@franticassembly.co.uk or
Frantic Assembly, 31 Eyre Street Hill, London EC1R 5EW.
The programme will cost £400 / £350* per person including VAT.
*Concession rate for trainee teachers. Proof of status must be supplied with booking form.
Return booking form by 10am on Wednesday 14 October 2015.
Places confirmed by Friday 16 October 2015.
Participants will be selected based on experience and suitability for this programme.
ABOUT YOU
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?:
Please tell us about your previous training in dance, physical theatre or theatre:
What relevant professional experience have you had to date?
Please tell us why you want to take part in the workshop(s) and what you hope to get out of the
day(s) (100 words max.)
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:_____________________________
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.
Please tick as appropriate.
1
Gender:
2
Ethnic Background
F
White:
M
British
MX
Irish
Any other White background (please state)
Asian / British Asian:
Indian
Pakistani
Bangladeshi
Any other Asian background (please state)
Black / Black British:
Caribbean
African
Any other Black background (please state)
Mixed:
White / Black
Caribbean
White / Black African
Any other mixed background (please state)
Chinese / other ethnic group:
Any other background (please state)
3
Sexual Orientation
Bisexual
Gay Man
Gay Woman/Lesbian
Heterosexual/Straight
Prefer not to say
Chinese
White / Asian
4
Disability (in accordance with the Disability Discrimination Act):
Do you consider yourself to have a disability?
No disability
Visual impairment
Hearing impairment/Deaf
Physical disabilities
Cognitive or learning
disabilities
Mental health
Invisible disabilities
5
Age
0-19 years
20-34 years
35-49 years
50-64 years
65+ years
Prefer not to say