Theatre Journeys for Special Schools Summer 2011

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Application Form

Mousetrap Theatre Projects enables young people with limited resources, access or support to engage with the best of London’s theatre.

PLEASE APPLY EARLY AS WE ONLY HAVE 100 TICKETS AT EACH PERFORMANCE. 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:

We offer innovative theatre access, education and audience development programmes to stimulate and inspire young people. At the heart of our work is the desire to open doors to young people who might otherwise consider London’s rich cultural heritage closed to them.

Email: Address:

Postcode:

Tel:

Mobile:

Mousetrap Theatre Projects 23-24 Henrietta Street Covent Garden London WC2E 8ND T: 020 7632 4117 F: 020 7632 4111 E: jo@mousetrap.org.uk www.mousetrap.org.uk

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? (Year 7 and up only) 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?

Registered Charity no. 1053434

Please tell us about any other needs or requirements (E.g. visual impairment, medical conditions, fear of heights, etc.):

Mousetrap Theatre Projects wishes to acknowledge and thank ICAP for its sponsorship of The ICAP Theatre Journeys for Special Schools Programme. We are most grateful to ICAP for its very generous support.

Please number your choices as #1, #2 etc. Schools may attend only one production, but the more

The Beggar’s Opera

Deadline for applications: 16 May 2011

_____ Tuesday 28 June at 2.15pm

_____pupils

_____adults

_____total

_____ Thursday 7 July at 2.15pm

_____pupils

_____adults

_____total

The Railway Children

Deadline for applications: 16 May 2011

______Thursday 23 June at 2.30pm

_____pupils

_____adults

_____total

______Thursday 30 June at 2.30pm

_____pupils

_____adults

_____total

choices you select the better chance you have of being successful.

ICAP Theatre Journeys for Special Schools Experience and explore the best of London’s theatre for just £5 a ticket

We will prioritise schools new to us 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 (Mon-Wed)

Please send me more information about the tailor-made workshop scheme ...inspiring young people

...inspiring young people


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