LeftCoast Circa Performance Masterclass Question Title * 1. Name Question Title * 2. Address Question Title * 3. Postcode Question Title * 4. Contact Email Question Title * 5. Contact Telephone Question Title * 6. Prefer to be contacted by Phone Email Question Title * 7. Please tell us about your performance experience to date (max 100 words) Question Title * 8. Please tell us about your ambitions as a performer (max 100 words) Question Title * 9. Tell us why the Circa Performance Masterclass would be beneficial to you & your practice (100 words): Question Title * 10. Do you have any web links where we can view examples of your work - if so please list them here Question Title * 11. Do you have any access needs? Yes No If Yes please describe... As a condition of our funding the Arts Council, and other funders, ask us to collect data to understand the impact of their investment. We would be very grateful if you could complete this information but you absolutely do not have to.We will never use or share this information other than in our returns to our funding partners and all data will be anonymised. Question Title * 12. Gender Female Male Prefer not to say Question Title * 13. Age Under 16 16-24 25-34 35-44 45-54 55-64 65 or older Prefer not to say Question Title * 14. Ethnicity White British Mixed/multiple ethnic background Black or Black British Asian or Asian British Other Prefer not to say Question Title * 15. Have you participated in the arts in the last 12 months Yes No Done