Workshop Order Form

* Required information.

Name of school/organisation *
Address Line 1 *
Address Line 2 *
Town *
Postcode *
Your Name *
Telephone Number *
E-Mail *
Emergency Mobile Number
Workshop Style/Type *
Workshop Date *
Age of participants/Year Group *
Please give details of any pupils with special needs *
Please give details of any pupils with behavioural problems *
Workshop Hours *
What time do you want the first session to start? *
What time do you want the last session to end by? *
Artist's Brief *
Please give details of any instrument hire you require *
Please give details of any art materials you require *
Will the artist have access to a CD player? *
The nearest train station to the school *
Getting the artist from station to school and back *
Additional information *

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Wise Moves Dance
37 Lin Brook Drive,
Ringwood,
Hampshire,
BH24 3LJ

0845 121 3380

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