slide application form jan 2016 - london borough of croydon · post or email a copy of the booking...
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SLiDE Dance Workshops For Adults and Young People
Adult Workshops: Venue: Braithwaite Hall, Clocktower, Katharine Street, Croydon, CR9 1ET
SLiDE Super Saturdays 11-3pm: Saturdays February 6th, March 12th, April 2nd
£10 a workshop, payable on the day. Please bring lunch and a drink.
Youth Workshops, 14-26 year olds: Venue: The Brit School, 60 The Crescent, Selhurst, CR0 2HN
Wednesdays: Street Dance 5-6.15pm: January 20th - February 17th
£25 in advance for the block of classes /£6 a class drop in
Thursdays: Contemporary 5-6.30pm: January 7th - March 24th No session: March 3rd/10th
£50 for the term (payable in instalments) contact Anita for a free taster
For all classes please wear loose, comfortable clothes. Trainers for Street Dance/adult workshops, bare feet for Contemporary.
Participants must keep us informed of any medical or heath issues that might affect their participation. Always tell us if a doctor or health professional has recommended that any particular exercise or type of movement be avoided.
Payment Details: By Post / Email Post or email a copy of the booking form and a cheque made payable to Slide Dance Ltd to: Anita Wadsworth, SLiDE Director, Flat 5, 22 Dornton Road, South Croydon, CR2 7DP
By Bank Transfer: Please add your name as a reference: Co-operative Bank, Account no: 65703533 Sort Code: 089299
For any general enquiries: 07949 136485 or anita@slidedance.org
www.slidedance.org Registered charity no.1164827
SLiDE Booking Form (Confidential) Booking for: ☐ Youth Workshop – Street Dance ☐ Youth Workshop – Contemporary ☐ Adult Workshop
Health Information: Please tell us about any existing injuries, medical conditions, recent surgery, allergies or special needs, medication or anything else you think we should know about the participant. Please use another sheet of paper if needed.
At the end of each session, the participants will: ☐ make their own way home. ☐ be collected by someone, please specify who: ______________________
Photography and Film Permission I a g r e e t h a t a n y p h o t o g r a p h s a n d f i l m s c a n b e t a k e n o f _____________________________________during workshops and performances to document and promote our projects in print / online. (SLiDE website, Twitter, and Facebook page). Names of participants will not be shown without prior agreement.
Communication: Add me to the SLiDE e-news, sent every 4 weeks: YES / NO
Signed (participant over 18): Date:
Signed (Parent/Guardian/Carer): Date:
Name of Participant:
Contact Telephone Number: Of participant if over 18 Or Parent / Guardian / Carer for Participants Under 18
Email (as above):
Address:
Date of Birth:
Emergency Contact Name & Number (It is essential that we can contact someone during the workshop)
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