TEACHER TRAINING WORKSHOP BOOKING FORM
Saturday 7 November, 10.30am - 5.30pm
at Toynbee Studios, 28 Commercial Street, London, E1 6AB
Due to the limited number of places, applicants will be selected through a lottery system.
To register your place, please return this form to workshops@franticassembly.co.uk
by 10am on Friday 16 October.
Please ensure that an email and postal address are provided for Frantic Assembly to invoice.
The workshop will cost £150 / £120* per person including VAT.
*Concession rate for trainee teachers. Proof of status must be supplied with booking form.
Frantic Assembly will confirm your place on Monday 19 October.
Information regarding location and directions will be sent to you by email 5 working days before the workshop.
Participant details
Name
Address
London Borough
(if applicable)
Mobile Number
E-mail Address
Name of School
Do you have any access
Requirements?
Where did you find out
about this workshop?
What do you hope to gain
from the workshop?
Have you attended a
Frantic Assembly
workshop before?
INVOICING DETAILS
Fee (delete as appropriate)
Full price £150 inc. VAT / Concession rate £120 inc. VAT
School / Organisation
(if applicable)
Address for invoice
(if different from above)
Email for invoice
(if different from above)
Purchase Order
Number (if required)
Booking conditions and Cancellation policy: An admin fee of £5 will be charged if your cheque
bounces. A full refund will be given if an applicant cancels their place at least one week before the
workshop. No refund will be possible if an applicant cancels their place within one week of the date
of the workshop (unless the place can be filled). Should Frantic Assembly be forced to cancel the
workshop due to circumstances beyond its control the workshop fee will be returned in full.
Please sign________________________________________________
Date___________________
Please sign to give permission for documentation (e.g. photos/video recordings) to be taken and to be
used in material relating to the Learn and Train programme, such a publicity material, the company’s
website and reports:
Signature__________________________________________________
Date________________
Frantic Assembly collects statistical data on those who work with us, take part in our Learn and Train
Programme or see our shows. We do this to help us monitor the diversity of the organisation and its
audience. This form will not be kept on file and the data used for statistics only. This is a requirement as
an Arts Council National Portfolio Organisation.
Please tick as appropriate.
1
Gender:
2
Ethnic Background
F
White:
M
British
MX
Irish
Any other White background (please state)
Asian / British Asian:
Indian
Pakistani
Bangladeshi
Any other Asian background (please state)
Black / Black British:
Caribbean
African
Any other Black background (please state)
Mixed:
White / Black
Caribbean
White / Black African
Any other mixed background (please state)
Chinese / other ethnic group:
Any other background (please state)
3
Sexual Orientation
Bisexual
Gay Man
Gay Woman/Lesbian
Heterosexual/Straight
Prefer not to say
Chinese
White / Asian
4
Disability (in accordance with the Disability Discrimination Act):
Do you consider yourself to have a disability?
No disability
Visual impairment
Hearing impairment/Deaf
Physical disabilities
Cognitive or learning
disabilities
Mental health
Invisible disabilities
5
Age
0-19 years
20-34 years
35-49 years
50-64 years
65+ years
Prefer not to say