Wufoo
NORTHERN BALLET CPD BOOKING FORM
Thursday 8 February 2024
Your name
*
Your job title
Year group or key stage you work with
*
School name & address
*
School telephone
*
Your email address
*
Emergency Contact Info
Emergency contact name
*
Emergency contact telephone
*
Details for invoicing
Payment for the CPD workshop will be taken in full upon booking.
- If the teacher cancels up to 14 days prior to the session, a full refund will be given
- If the teacher cancels within 14 days of the session, a 50% refund will be given
- If the teacher cancels with 24 hours of the session, 100% of the fee is payable
If Northern Ballet has to cancel the session we will endeavour to rearrange to a suitable date. If you are unable to attend, a full refund will be given.
Name of administrator
Email address of administrator (the invoice will be sent here)
Address (if different from school address)
Tell us about your school
Does your school hold Artsmark status?
Yes
No
If yes, which level?
Silver
Gold
Platinum
Working towards
Registered
Please tell us about your school, including any specific challenges in your setting
*
Please tell us about your pupils, including their demographic
*
Please tell us about your level of experience delivering dance/movement sessions
*
What story/play/event are you likely to work on during the session?
(If you haven’t decided yet don’t worry, we will contact you a couple of weeks before the session to follow up. This will help our Community Dance Artist to prepare for the session)
Are there any topics or themes you are exploring with your pupils?
What do you hope to gain from the session? Is there anything in particular you would like support with?
How did you find out about the session?
Do you have any access needs or medical conditions we should be aware of?
Whilst great care will be taken to ensure the safety of all participants during this CPD session, Northern Ballet cannot accept responsibility for any injuries or illness sustained during or after the session.
Northern Ballet Limited registered in England and Wales. Registered charity no. 259140.
Company registration no. 947096. VAT no. 202037470.
For information about how we process and store your data please visit https://northernballet.com/privacy-policy
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