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Creative Wellbeing Studio - Participant Registration of interest
Please note: Completing this form does not guarantee a space in the studios. After you’ve submitted it, we’ll be in touch to let you know if the group feels like a good fit. If a place is offered, please let us know within 5 days whether you wish to accept or decline the space.
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* Indicates required question
Full name
*
Your answer
Preferred name
Your answer
Age range
*
18–24
25–34
35–44
45–54
55–64
65+
Gender (Optional)
Your answer
Pronouns (Optional)
Your answer
Email address
*
Your answer
Contact phone number
*
Your answer
Emergency contact name and number
*
Your answer
Which group would you prefer to attend?
*
Monday Afternoons - 2 - 4pm (3rd November - 1st December)
Thursday Mornings - 10.30am - 12.30pm (6th November - 4th December)
Are you available for both times if your first choice is full?
*
Yes
No
If enrolled, do you plan to attend all five weeks?
(If not, which dates will you miss?)
*
Your answer
Do you have any access, mobility, sensory, or health needs or allergies we should be aware of to make participation comfortable for you if you attend?
Your answer
Are you comfortable exploring a range of modalities e.g. visual arts, movement, drama, mindfulness?
Yes
No
Maybe
Clear selection
Is there anything in your life at the moment that would make it difficult for you to attend these workshops?
Your answer
Is there anything that would help you feel safe or supported within a group setting if you attended these workshops?
Your answer
Is there anything else you’d like the facilitator to know?
Your answer
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