Special Schools Spring Term 2010

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Application Form PLEASE NOTE: Please apply early, as spaces are strictly limited. If your application is successful, the tickets will be booked for you and an invoice and confirmation letter sent. Please do not apply for tickets you cannot use, as we are unable to offer refunds on any unused tickets. Please return this form by post or fax to 020 7632 4111. Contact name:

Job title:

School:

Borough:

Email: Address: Postcode: Tel:

Mobile:

Please state the best time of day to reach you: What are the special educational needs of the pupils in your school?

Which year group are you bringing? Tickets are limited to approximately 30 pupils and teachers per school.

Access requirements Do you have wheelchair users in your group? Yes/No If so, how many? Are any of the wheelchair users able to transfer into seats? Yes/No If so, how many Please tell us about any other needs or requirements (E.g. visual impairment, medical conditions, fear of heights, etc.): Please number your choices as #1, #2 etc. Schools may attend only one production, although you may make as many choices as you wish. Cirque du Soleil – VAREKAI Wednesday 3 February at 3pm Friday 5 February at 3pm

Deadline for applications: 11 January 2010 pupils adults Total: pupils adults Total:

Stomp

Deadline for applications: 28 January 2010 pupils adults Total: pupils adults Total:

Thursday 11 March at 3pm Thursday 18 March at 3pm

We will prioritise schools new to the programme and those with a higher percentage of students on free school meals. If you have any queries, please contact Jo Pelly on 020 7632 4117 or jo@mousetrap.org.uk Please send me more information about the in-depth education programme


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Special Schools Spring Term 2010 by Mousetrap Theatre Projects - Issuu