Swan Lake Take Flight Community Workshop Sign Up Form

Swan Lake Take Flight Community Workshop Sign Up Form

Swan Lake themed movement workshops led by a New Adventures Regional Dance Ambassador
The workshops are approximately 1 hour long and for young people (10-18 years, up to 24 years if disabled), who are part of a local community group. For example, Scouts, after school club, youth club, climate change group, volunteers, faith groups, sports team.

We can offer 1-3 workshops for your group with a max of 25 participants per workshop that will occur over 4-5 weeks in the run up to Swan Lake perfoming in your local venue.

Please read our FAQs here to find out more: https://www.new-adventures.net/take-part/swan-lake-take-flight#find-activities-near-you
Local Theatre Venue
Community Group Name
Description of Community Group
e.g youth club, religious group, local netball club
Group Leader Name

First NameLast Name
Group Leader Email
example@example.com
Group Leader Phone

Area CodePhone Number
Number of participants
Age of participants
Gender Split
Dance Ability of participants
Any learning needs, behavioural support or access requirements within the group
How many workshops would you want for your group?
Preferred dates and times for workshop
e.g Wed 18th Sept, 6pm-7pm, Wed 25th Sept 5pm-6pm and/or Thurs 3rd Oct 7pm-8pm
Please can you confirm that you are able to provide a speaker that can connect via Bluetooth or via USB C aux (iPhone)

YesNo
Group Venue Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Details of space
Do you require the workshop to take place in a different location?

YesNo
Details of sound system
If the First Aider is not yourself, please provide details of the person who will be present and their contact number:

First Aider First NameFirst Aider Last Name
First Aider Phone Number

Area CodePhone Number
If the Safeguarding Lead is not yourself, please provide details of the person who will be present and their contact number:

Safeguarding Lead First NameSafeguarding Lead Last Name
Safeguarding Lead

Area CodePhone Number
Photography and Filming Permission

YesNo
I give permission for the participants photographs to be taken and to be filmed during the workshop, and for the image to be used accordingly by New Adventures for publicity, promotion, evaluation and advocacy purposes across all platforms online and in print. I understand partner organisations involved in the project may also request use of images, as may external media organisations. I understand that any images will be used appropriately and in accordance with legal requirements.
Thank you for signing up for our Swan Lake Take Flight Community Workshops.

Please note - by submitting this form you agree to New Adventures storing and handling the personal data you have provided for the purposes of Swan Lake Take Flight and any future legacy project. Where necessary and appropriate this information will also be shared with our venue and research partners for the purposes of safeguarding, project delivery and evaluation.
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