Holly Stoppit's Comic Storytelling Application Form
Please note: you need to have completed Holly's Introduction To Clowning weekend to attend this workshop. For upcoming courses see Holly's Website: www.hollystoppit.com

Dates: 28th May - 1st June 2018
Deadline for applications: Monday 16 April
Times: 10-6 daily.
People: 12 max
Venue: St Michaels on the Mount Primary School, central Bristol

Cost: £350* / £300** / £250***
*This is our sponsor rate. It's for those who are earning enough money that they feel able to support another participant to attend for the supported rate.
**This is our standard rate.
***This is our supported rate for those who are unemployed or in full time education.

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.

Any queries please email info@hollystoppit.com

Name *
Your answer
Phone Number *
Your answer
Email *
Your answer
Date of Birth *
Your answer
Gender *
Are you able to attend the whole workshop? *
Course times: 10am-6pm all 5 days.
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 sponsor rate / £300 full fee / £250 concessions + 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 eduction 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
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