CIAT Activity Form: Filmmaking Workshop

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please note these workshops are for children aged 9 - 18 who live in Somerset. Due to the nature of the funding our booking process is slightly different. Please complete the form for each child, and we will send you a link to pay. Please note places are limited and will be allocated on a first come first served basis.

Please indicate whether your child: *

Has a diagnosed disability

Is undergoing diagnosis for a disability

Receives Disability Allowance

Receives Personal Independent Payment

Required

Your Name

Your Email *

Which session would you like your child to attend? *

Monday 12 February 2024 - Morning Session Filmmaking Workshop (10:30 - 13:00)

Monday 12 February 2024 - Afternoon Session Filmmaking Workshop (14:00 - 16:30)

Name of Child Attending *

Child's Date of Birth

YYYY

Age

Please tell us the nature of your child's disability.

Please tell us anything you think we should be aware of in regards you child's disability.

A first aider will be present at all times but please let us know if you would prefer us not to administer first aid to your child?

I would prefer you not to administer first aid

Clear selection

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Somerset Film. Report Abuse

Forms