BOOKING FORM Teacher Training Workshop Saturday 8 March 2014
10.30am - 5.30pm. The Jerwood Space, 171 Union St, London SE1 0LN, UK
Places will be allocated on a first come first served basis.
To secure your place, please return this form to laura@franticassembly.co.uk
by 10am on Wednesday 12 February 2014.
Please ensure that an email and postal address are provided for Frantic Assembly to invoice.
The workshop will cost £120/ £102* per person including VAT
*Concession rate for trainee teachers. Proof of status to be supplied with booking form.
Frantic Assembly will confirm your place when we receive your booking form.
Information regarding location and directions will be sent to you by email 5 working days before the workshop.
Participant details
Name
Address
London Borough (if
applicable)
Mobile Number
E-mail address
Name of school
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?
Invoicing details
Fee (delete as appropriate)
Full price £120 inc. VAT / Concession rate £102 inc. VAT
School / Organisation
(if applicable)
Address for invoice
(if different from above)
Email for invoice
(if different from above)
Booking conditions and Cancellation policy: An admin fee of £5 will be charged if your cheque
bounces. A full refund will be given if an applicant cancels their place at least one week before the
workshop. 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________________________________________________
Date___________________
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 is an equal opportunities organisation, committed to promoting diversity and access in all its activities.
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 donna@franticassembly.co.uk
or 020 7841 3115.
Tick the boxes next to your answers:
1. GENDER:
Female

Male


Irish

2. ETHNIC BACKGROUND:
A. WHITE:
British
Any other White Background (Please state)____________________________
B. ASIAN / BRITISH ASIAN:
Indian

Pakistani


Bangladeshi
Any other Asian Background (Please state) ____________________________
C. BLACK / BLACK BRITISH:
Caribbean

African 
Any other Black Background (Please state) ____________________________
D. MIXED:
White/Black Caribbean 
White & Black African 
White & Asian

Any other Mixed Background (Please state) ___________________________
E. CHINESE / OTHER ETHNIC GROUP:
Chinese

Any other Ethnic Group (Please state) _______________________________
3. DISABILITY (In accordance with the Disability Discrimination Act):
Do you consider yourself to have a disability?
Yes

No
