Healing Arts Birmingham Event Registration
Thank you very much for your interest in participating in Healing Arts Birmingham. Please complete this form with the details of your event and your organisation for inclusion in the program. The form should take 10-15 minutes to complete. Before starting, please have the following ready: Official logos (for web and print), Up to 5 representative images, Social media links (if available), Info on partners, sponsors, or collaborators. Having these ready will speed up the process.
Event Details
Event Name (word limit of 10-15 words)
Word Limit of 10
Date(s) of Event
*
Start Time (HH:MM AM/PM)
Hour Minutes
AM
PM
AM/PM Option
End Time (HH:MM AM/PM)
Hour Minutes
AM
PM
AM/PM Option
Location of Event
*
Street Address
Street Address Line 2
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
City
Region
Post Code
Provide a description of your event (100-word limit)
*
Maximum 250 words
Ticketing/Registration Link
Please provide a ticketing/rsvp/registration link for your event if you have one.
Does your event address one or more of the Healing Arts Birmingham 2026 themes?
*
Promoting Healthy Communities and Places – harnessing the power of culture, creativity, and community assets to build healthier neighbourhoods.
Improving Clinical & Social Care Pathways – demonstrating how arts and health approaches can prevent ill-health, support recovery, and complement clinical and social care.
From Evidence Informed Approaches to Policy Impact – embracing science, creativity, lived experience, and diverse forms of knowledge to guide decision-making.
Tackling Inequalities and Building Fairer Futures – ensuring that arts & health interventions reduce disparities and enable all communities to thrive.
Which health categories does your event address? (Select only 4)
Mental Health
Wellbeing
Chronic illness
Disability
Ageing
Brain health/dementia
Recovery/addiction
Public Health/Prevention
Trauma and healing
Palliative care
Other (Please State)
Which artforms does your event explore?
*
Music
Dance/Movement
Literary Arts/Poetry
Media & Digital Arts (Including film, animation, and video)
Traditional & Cultural Arts
Theatre/Performance
Festival/s
Cultural Festivals and ceremonies
Popular Culture / Folk Arts
Multisensory
Visual Arts
Craftsmanship & Design
Other (Please state)
Target audiences of the event
*
Children & Young People
Adults
Elderly people
Families
Healthcare professionals
Artists/arts professionals
Academics/Researchers
People with a specific health condition
General Public
Other (Please state)
Type of event (Select one where possible)
*
Workshop/Class
Exhibition
Show or Performance
Talk/Panel Discussion/Roundtable
Symposium
Book Club
Audiovisual Screening/Cinema
Other (Please state)
Is your event free or paid?
*
Free
Paid/Admission Fee
Suggested Donation
Other (Please State)
What is the maximum capacity for the event? (Please indicate 'N.A.' if there is none)
*
N/A
0-5
5-25
50-100
100-250
250+
Name of your Organisation
*
Email Contact
*
example@example.com
Are You Collaborating With Any Other Organizations or Partners?
Yes
No
Official Organisational Logo (for web and print)
*
Browse Files
Drag and drop files here
Choose a file
Please upload this in .png/.svg format
Cancel
of
Official Organisational Logo (print version - High Res)
Browse Files
Drag and drop files here
Choose a file
Please upload a compressed folder with .ai/.eps/.svg files
Cancel
of
Representative images (5 max)
Browse Files
Drag and drop files here
Choose a file
JPEG/PNG formats, up to 10 MB per file - These will be used on the Healing Arts Scotland website
Cancel
of
Event Hero Image (1 max)
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Social media links (if available)
(Please list your social media profile links)
Further Information on partners, sponsors, or collaborators
Contact, Promotion, and Permissions
Do you give permission for the submitted materials (images, texts) to be used publicly for promotion purposes?
*
Yes
No
*
By registering this event for inclusion in the Healing Arts calendar or materials, you confirm that you have read and accept the terms and conditions, and understand that Healing Arts Scotland is not the host or organisations of this event and assumes no responsibility for its execution or outcomes.
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Organisation Information
Brief description of your entity or organisation (mission, target groups, etc.)
Where is your organisation based?
Street Address
Street Address Line 2
City
Region
Post Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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Opinions
Participating in the arts promotes social cohesion in my community.
Strongly Agree
Agree
Neither agree nor disagree
Disagree
Strongly Disagree
Participating in the arts improves the well-being of people in my community.
Strongly Agree
Agree
Neither agree nor disagree
Disagree
Strongly Disagree
I would like to participate more in artistic activities to improve my well-being.
Strongly Agree
Agree
Neither agree nor disagree
Disagree
Strongly Disagree
Is the event location the same as where your organisation is based?
Yes
No
Which sector does your organisation mainly work in?
Health
Culture
Government
Education
Social
Which sector does your partner organisation(s) work in?
Health
Culture
Government
Education
Social
Other
If other, please specify
By registering, you consent to being part of post-event evaluation.
Yes
No
Would you like to receive information about future activities related to Healing Arts Scotland? These may include events, research initiatives, special promotions, and other opportunities to participate. Staying informed helps us promote knowledge and awareness about Arts in Health and contribute to the growth of such projects.
Yes
No
Do you want to be included in an international public directory of Arts & Health organisations?
Yes
No
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