To apply for a place please return this form to lucy@franticassembly.co.uk or
Frantic Assembly, 31 Eyre Street Hill, London EC1R 5EW
Return booking form by Monday 11 November 10am.
Places confirmed by 14 November.
Participants will be selected based on experience and suitability for this programme.
There are 3 different workshops. Please tick which workshop(s) you would like to attend:
 Building Blocks: Wednesday 4 December 2013, 10.30am – 5.30pm
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
Movement and Meaning: Thursday 5 December 2013, 10.30am – 5.30pm
Text and Movement: Friday 6 December 2013, 10.30am – 5.30pm
1 Workshop
2 workshops
Cost (please tick):
£120
☐
£100*
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Special offer all 3 workshops
£240
£300
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☐
£200*
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£240*
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* Concessionary rate. Please send details of your status if you are a full time student / registered disabled / receiving job seekers allowance
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:_____________________________

Equal opportunities monitoring form
Frantic Assembly collects equal opportunities information from all workshop participants in order to monitor diversity and to meet the requirements of its Arts Council England funding agreement. The questions below reflect the information ACE requires.
If you have any questions please do not hesitate to contact Donna Marie Howard on donna@franticassembly.co.uk
or 020 7841 3115.
Please tick as appropriate.
1 Gender Male
2 Ethnic Background
White: British
Any other White background (please state)
Asian / British Asian: Indian
Any other Asian background (please state)
Female
Irish
Pakistani Bangladeshi
Black / Black British: Caribbean
Any other Black background (please state)
Mixed: White / Black Caribbean
Any other mixed background (please state)
Chinese / other ethnic group:
African
White / Black African
Chinese
White / Asian
Any other background (please state)
3 Disability (in accordance with the Disability Discrimination Act):
Do you consider yourself to have a disability? Yes No
4 Age Under 18 Over 18
Frantic Assembly is committed to promoting theatre as an activity for all and encourages diversity and access in all its activities.