C.R.U.S.H ENROLMENT FORM 2025

C.R.U.S.H ENROLMENT FORM 2025

Enrolments close Friday, 24 October 2025
Crossroad Arts in partnership with Dancenorth and Undercover Artist presents:

C.R.U.S.H

Community. Regional. Up Skill. Haven

A sweet weekend in the Tropics!

Crossroad Arts is partnering up with Dancenorth (Townsville) and Undercover Artist (Access Arts, Brisbane) to produce an exciting 3 days of workshops on contemporary movement, performance and theatre making to nurture a new crop of fresh and crushingly sweet talent!

C.R.U.S.H is suitable for all bodies, minds and levels of artistic experience- from raw beginner to highly accomplished performers, and/ or dancers. Suitable for 15 years and over.

Dates: Friday 31 October - Sunday 2 November, 2025 from 10:00am to 4:00pm each day. Enrolments close at 12:00 noon on Friday, 24 October 2025.

Where: Senior Citizens Hall, 58 Macalister Street, Mackay.

Cost: Heavily subsidised $90 for weekend. Should cost be a barrier to participation please contact us.

Contact: (07) 4953 5122 or admin@crossroadarts.com.au

Access: Venue is wheelchair accessible. Should you have any access requirements please let us know when registering.
Participant Information
Name:*

First NameLast Name
Preferred name:*
First Name
Preferred pronoun:
i.e. he / she / they
Date of Birth:*

DayMonthYear
Date
Email:*
example@example.com
Mobile:*
Please enter a valid phone number.
Address:*

Street Address

Street Address Line 2

CityState

Postcode
Postal Address:*

Postal Address

Postal Address Line 2

CityState

Postcode
Primary Contact Name:*

First NameLast Name
Relationship to you:*
Primary Contact Mobile:*
Please enter a valid phone number.
Primary Contact Email:*
example@example.com
Support Need: (please select)*

LowMildMediumHigh
Please list any relevant information such as an injuries, medical conditions and behavioural patterns or special requirements that the facilitators may need to be aware of in the planning and preparation of the workshops:*
Emergency Contact Information
Contact Name in case of an emergency:*

First NameLast Name
Emergency Contact Mobile:*
Please enter a valid phone number.
Relationship to participant:*
Accounts Information for Payment
Accounts Contact Person:*

First NameLast Name
Accounts Email*
example@example.com
Accounts Phone:*
Please enter a valid phone number.
Are you using NDIS funds for this workshop?*

YesNo
Should be Empty:

C.R.U.S.H ENROLMENT FORM 2025

Participant Information

Emergency Contact Information

Accounts Information for Payment