Le Club Social

Le Club Social

BCP Community Cast Sign Up Form - Please complete by Sunday 5 March (you will be contacted by 8 March)
1. About you
Name

First NameLast Name
Your age
Phone Number*
Email
example@example.com
Your postcode*
Emergency contact
Emergency Contact Name & relationship to you:*
Emergency contact telephone number:*
By signing up to this project, you declare you are fit and healthy. Please include, anything else you think we might need to know (i.e. medical information, allergies, etc)
Do you have any access requirements we need to be aware of?*

2. About dancing
Tell us why you would like to be involved in this project? What is your experience of the dancefloor?
Your Participation
Le Club Social Introduction Tasters

We are hosting an introduction taster at Pavilion Dance and Bearwood Community Centre, a mixture of chat and moving and a chance to meet Genevieve and the team. Please pick your choice:
Pavilion Dance, Westover Rd, Bournemouth, BH1 2BU

Saturday 11th March, 11:30-13:00Saturday 11th March, 14:30-16:00
Bearwood Community Centre. King John Avenue, Bournemouth, BH11 9TF

Sunday 12th March, 10:30-12:00Sunday 12th March, 13:30-15:00
Be part of our community cast for Le Club Social

If you like our introduction taster and would like to join the community cast, the dates are below (please note, rehearsals will be no longer then 2-hours a day, timing to be confirmed depending on those involved in the project)

Dates	Location
Saturday 25th March - Rehearsal	PDSW Studio
Saturday 1st April - Rehearsal	PDSW Studio
Saturday 2nd April - Rehearsal	PDSW Studio
Saturday 8th April - Rehearsal	PDSW Studio
Saturday 15th April - Rehearsal	Location TBC
Sunday 16th April - Rehearsal	Location TBC
Friday 21st April - Technical	PDSW Theatre
Saturday 22nd April - Technical rehearsal	PDSW Theatre
Sunday 23rd April - Dress rehearsal & show	PDSW Theatre

Can you commit to all rehearsals/performances*

YesNo
If no, please explain which dates you are unable to make and why?
Last little question, please tell us where you found out about this opportunity?
4. Permissions
We (Pavilion Dance and Genevieve Say) accept no liability for injuries or illness. The Le Club tasters, workshops and performance opportinity are entered into entirely at your own risk. If you have any concerns or questions regarding your health in the project please contact lisa.lort@pdsw.org.uk / your GP prior to participating.

Any photographs and film taking during the tasters, rehearsals and performance will be held in accordance with the Data Protection ac 1998 and maybe used to document and promote the project during and after the project.

I give permission for photos and films to be taken during the tasters, rehearsals and performance, to be used by Pavilion Dance and Genevieve Say for marketing, social media and post performance projects, inclding being part of an online archive at Dorset History Centre.
Signature*

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For any questions or for more information contact Wellbeing Producer lisa.lort@pdsw.org.uk or 01202 203630

--Thank You--
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1. About you