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

Date: Saturday 19 & Sunday 20 October, 2019, in Edinburgh
Times: Saturday 10am-6pm, Sunday 10am-6.30pm

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 / £120 / £90
£150: standard rate / £120: low income / £90: no income.
There are limited concessionary places available.

The deadline for applications to this course is Friday 13 September 2019.

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.

Your Name *
Your answer
Your Phone Number *
Your answer
Your Email *
This is how we will contact you - please make sure it is right.
Your answer
Gender *
Date of Birth *
Please make sure to include your year of birth (not this year!) - this helps Holly put together a balanced group. Thanks.
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Any medical / physical conditions / potential allergic reactions Holly should know about? + Any additional support you may need? *
Your answer
Any mental health issues you'd like us to know about, so that we can support you? + What support do you need? *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Number *
Your answer
Fee *
If you have requested a concession:
Concession places are limited. 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 on the Saturday, 10am-6.30pm on the Sunday. 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 us select a group of people with a diverse range of needs and desires, whilst making sure there are clusters of people coming for similar reasons.
Your answer
Self Care *
Although this weekend 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
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
Where will you be coming from to attend this workshop?
This is useful for us for future planning.
Your answer
Have we received an application from you to do this workshop before ? *
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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