Participant Call Out: Roman Road X Young Creatives
Please complete this form by Monday 2nd March 2020 if you would like to take part in Roman Road X Young Creatives. This is dynamic film project, which gives young people the opportunity to move, produce music, explore and create alongside each other.
If you have any further questions, please email Jessica at
or call us at 020 89816617.
Date of Birth
Emergency Contact Name
Emergency Contact Telephone Number
Are you available for the following dates? (Please tick)
Priority will be given to those who can attend all dates.
8 March 2020 11am - 3pm
13 March 2020 4.30pm - 7pm
20 March 2020 4.30pm - 7pm
22 March 2020 11am - 3pm
27 March 2020 4.30pm - 7pm
5 April 2020 10am - 5pm (exact times tbc)
Do you have any access needs?
If yes, please provide any information which might help us support you.
Never submit passwords through Google Forms.
This form was created inside of Chisenhale Dance Space.