JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Claud Tonietto - "Queer-Utopian Dreamin’"
Workshop Date & Time: Wednesday 17th August 2022, 2.30pm-4.30pm
Please fill in the form below to reserve your place on this workshop.
(There are a maximum of 15 places available for this workshop)
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Your name & pronouns
*
Your answer
Please provide your contact email address:
*
Your answer
Please provide a contact telephone number:
*
Your answer
Please provide your postcode:
*
This is for evaluation purposes only
Your answer
Your age:
*
Your answer
Please provide a short message about why you would like to do this project:
*
Your answer
By signing up to this project you declare that you are fit and healthy. Please include other information here: (anything useful for us to know, e.g. medical information, allergies, access requirements)
Your answer
Please provide the name of the person we should contact in an emergency:
*
Your answer
Emergency contact phone number:
*
Your answer
Emergency contact relationship to you:
*
Your answer
I give permission for photos & films to be taken during the rehearsal & performance & used for marketing and social media:
*
Yes
No
Please note if there are any special requirements PDSW may need to be aware of for you to take part in this project. The PDSW building is fully accessible.
*
Your answer
How did your hear about this opportunity?
*
PDSW Website
Social Media eg. Facebook, Twitter, instagram
PDSW Newsletter, notice or email communication
Through a friend
BourneFREE
Other:
Required
Would you like to be contacted by PDSW? If so please select for what purposes:
*
You can contact us at any time to remove or amend your details on our system. Note: We will never sell your data to third party organisations and we will treat your contact information with respect and privacy.
Dance Classes
Live Dance Performance and Films at PDSW
Online and Digital Events
Artist Opportunities
All of the above
Please do not contact me
Career opportunities
Other:
Required
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Pavilion Dance South West.
Report Abuse
Forms
