Deepening Clown; Holly Stoppit's 5-day Clown School, 13-17 April 2020: application form
Please note: you need to have completed Holly's Introduction To Clowning weekend to attend this workshop.

Dates: Monday 13 - Friday 17 April
Deadline for applications: Monday 24 February
Times: 10am-6pm each day (except 6.30pm finish on the Friday)
People: 12

Cost: £350/ £325/£300
Standard/low income/no income

The questions on the application form are designed to help Holly organise balanced groups of participants, taking things like age, gender, performance experience and hopes for the workshop into account to create optimum learning groups.

THE INFORMATION WE COLLECT
The age and gender information collected here is only for the purpose of creating a balanced group for the course.
We ask for medical information and emergency contact details in case of illness or accident during the course - we will delete this information after the course. We will only use the email address you have provided to contact you about this course (unless you consent to being on our mailing list). We never share your information with anyone else.
Name *
Your answer
Phone Number *
Your answer
Email *
We'll be communicating with you using this address - please double check it is correct.
Your answer
Date of Birth *
Your answer
Gender you identify as *
Are you able to attend the whole workshop? *
Course times: 10am-6pm Monday - Thursday. 6.30pm end on final day.
Your answer
Which Holly Stoppit courses have you already attended? *
Your answer
What particularly appeals to you about this workshop? What are you hoping to get out of it? *
Please take a bit of time to answer these questions as it helps us group people for the maximum learning to take place.
Your answer
Please state the fee you wish to pay (£350 standard rate / £325 low income / £300 no income + reason for concession) *
Holly's work is not funded in any way. Her income is dependant on what she earns through these workshops. She keeps the workshop numbers small so that she can offer high quality learning experiences. Please consider these factors as you make your payment choice. Thank you.
* Supported Rate Applicants
These places are generally provided to those who are unemployed or who are in full-time education and are limited in number per course. Please state why you would like to request a concession place.
Your answer
Selfcare *
Although this week will be a lot of fun, Holly’s work always has the potential of being very deep, as it’s all about exploring your relationship with presence and connection, which may bring surprising things up to the surface. Holly is a qualified and registered dramatherapist and will make every effort to keep you safe in the work and there will always be an option to sit out of exercises. However, it is ultimately your responsibility to look after yourself. Does this all sound OK to you?
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Number *
Your answer
Any medical / physical conditions / potential allergic reactions Holly should know about?
Your answer
Can we keep in touch? *
We would like to add you to our mailing list to tell you about future courses and other Holly Stoppit Workshops news - please tick the box to give your CONSENT to being added to the mailing list - or to staying on the mailing list if you are already on it. Thank you.
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