Introduction to Clowning - Application Form
This form is to apply for a place on Holly Stoppit's Introduction to Clowning weekend.

Date: Saturday 11 & Sunday 12 November 2017, in Bristol - 10am-6pm each day.

This course has an application process to make sure we’ve got a good mix of bods in the room (taking gender, age, performance experience etc into consideration). Priority will be given to creating a balanced group, and to those who have applied to this course before and not got on.

This course is always hugely over-subscribed, so to be in with a chance of getting place, please take some time to answer the questions about your experience and what you hope to get out of the course.

Pricing:

£150 is the sponsor rate for those earning enough money to support a concessionary place for another participant.
£120 is the standard rate.
£90 is the concession rate for those on benefits or in full time education. There are limited concessionary places available.

The deadline for applications to this course is 3 October 2017.

The age and gender information collected here is only for the purpose of creating a balanced group for the weekend.

Your Name
Your answer
Your Phone Number
Your answer
Your Email
Your answer
Gender
Date of Birth
MM
/
DD
/
YYYY
Any medical / physical conditions / potential allergic reactions Holly should know about?
Your answer
Emergency Contact Name
Your answer
Emergency Contact Number
Your answer
Fee
If you have requested a concession:
Concession places are limited and offered to those in full-time education or in receipt of benefits. Please state your reason for requesting a concession below.
Your answer
Time commitment
As this is a group journey, you’ll need to commit to 10am-6pm both days. We may finish a bit earlier, but Holly doesn't like to rush the endings. Can you be there the whole time?
Your answer
Brief account of your performance training/ experience
This is to help Holly with her planning, it’s OK if the answer is “none”
Your answer
What particularly appeals to you about this workshop and what are you hoping to get out of it?
This helps Holly prepare and is also good reflective practise for you.
Your answer
How did you hear about this workshop?
Please be as specific as you can - it really helps us with planning/targeting publicity etc. If you saw this on Facebook, what page? If it was in a newsletter, who from? If it was word-of-mouth - tell us who's mouth! Thanks
Your answer
Have we received an application from you to do this workshop before ?
Submit
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