Animate Lewisham - APPLY NOW

Information about the applicant

Applicant's first name*

Applicant’s surname*

School attended*

School year group*

Date of Birth*

Borough*

Access

Does the applicant have any special requirements that Trinity Laban should be made aware of?

Yes
No

If 'Yes', please give details

Does the participant take any medication that we should be made aware of?

Yes
No

If 'Yes', please give details

Please note staff are NOT able to administer any medication. If your child requires medication, please indicate this below. Your child will be expected to self-administer their medication. If you have any concerns or would like to discuss this further, please email animate@trinitylaban.ac.uk

Parent/Carer information

Parent/Carer name*

Parent/Carer email address*

Postcode*

Contact telephone number*

Would you like to be kept up to date via email with information about future Trinity Laban Learning & Participation projects?*

Yes
No

About the applicant

As far as possible this section should be completed by the young person applying to take part.

What is your main instrument (including voice and music technology)?*

What other instrument(s) (including voice and music technology) do you play, if any?*

Please outline your musical experience (such as any instrumental lessons you've had, group music-making, exams taken etc)*

Please tell us why you would like to take part in the project (feel free to be as descriptive as you like, but please limit your answer to a maximum of 250 words)*

Sessions will take place on:

Monday 13th February 2023
Tuesday 14th February 2023

Equality, Diversity and Monitoring Information

Trinity Laban Conservatoire of Music and Dance is committed to equal opportunities, any answers given in this section will not affect your application. Data will only be used for reporting and monitoring purposes. All data received is held in a password protected location.

Applicant Ethnicity

ASIAN/ASIAN BRITISH: Indian/Pakistani/Bangladeshi/Chinese/Any other Asian background
BLACK/BLACK BRITISH: African/Caribbean/Any other Black background
MIXED: White & Black Caribbean/White & Black African/White & Asian/Any other Mixed background
WHITE: British/Irish/Gipsy or Irish Traveller/Any other White background
OTHER: Arab/Any other Ethnic group
Prefer not to say

Applicant Gender

We aim to ensure we are supporting children who might have certain needs or be underrepresented within the arts. To help us achieve this, please tick if the participant is or has any of the following

Physically disabled in any way (including visual or hearing impairment)
Specific Learning Difficulties e.g. Dyslexia, dyspraxia, dyscalculia
Moderate learning difficulties (MLD)
Attention Deficit Disorder (ADD) or Attention Deficit Hyperactivity Disorder (ADHD)
Autistic Spectrum Disorder (ASD)
From a traveller community
‘Looked after’

Is your child in receipt of pupil premium and/or free school meals?

Yes
No
Prefer not to say

I confirm that all details above are correct and agree this information may be held in accordance with the rules and regulations of General Data Protection Regulation

I agree

Applicant Permission

By ticking this box you are giving consent for photographs, film and audio to be taken, during this Animate Artists project. Images/film footage/audio will be used for educational purposes, and to promote Trinity Laban's Programmes. Images/footage/audio may be used online for social media, websites, evaluation reports and research publications. Photos, film or audio may also be used in Trinity Laban publicity both in print and on our third party websites. Footage will not be broadcast or distributed through any commercial operations and names will not be placed next to photos.

Consent for photography, video and audio*

I have read and understood the consent for photography, video and audio
I do not consent for photography, video and audio

You will be expected to drop-off and collect the participant at the start and end of the day, although you will not be allowed into the premises yourself. Please indicate below if you want to give permission for the participant to leave the site unaccompanied at the end of the day:

I give permission for my child to leave the site unaccompanied at the end of the Session
I do not give permission for my child to leave the site unaccompanied at the end of the Session

Do you give permission for the participant to leave the site unaccompanied during any breaks and lunchtimes?

I give permission for the participant to leave the site unaccompanied during any breaks and lunchtimes
I do not give permission for the participant to leave the site unaccompanied during any breaks and lunchtimes

Course Fees

Fees will only be due once any places are offered and accepted by you.

Please select which fee will apply to the applicant*

£28 Full Fee
£16 Sibling Discount
£12 if eligible for Pupil Premium/Free School Meals

For the Sibling Discount to apply, one child must be paying the Full Fee and then any further siblings are eligible for the Sibling Discount.

Animate Lewisham – APPLY NOW

Animate Lewisham - February 13th-14th