Summer 2019

Please complete this form by 9am on Friday 12th July 2019
Project Art Works aims to provide the best possible environment for engagement. We use the following information to support each young persons creative journey. Please complete each section as fully as possible. 
Please consider carefully your availability before booking. Spaces are limited we endeavour to provide at least one session for all our participants.
There is a suggested donation of £5 per family per session. Please contact us if the charge causes financial concerns.
We will be in contact by  Monday 15th July 2019 to confirm your session.

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* 1. Parent /Carer Information

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* 2. Participant Information

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* 3. Sibling Information

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* 4. Dates and times available for Art Breaks at Project Art Works studio, Hastings.
Please indicate a first and second choice.

  First choice Second choice
Tuesday 6th August - 10.00am - 12.00pm
Tuesday 6th August - 1.30pm - 3.30pm
Wednesday 7th August -  10.00am - 12.00pm
Wednesday 7th August - 1.30pm - 3.30pm
Thursday 8th August - 10.00am - 12.00pm
Thursday 8th August - 1.30pm - 3.30 pm

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* 5. Dates and times available for Art Breaks at St Marys School, Bexhill.
Please indicate a first and second choice.

  First choice Second choice
Tuesday 13th August - 10.00am - 12.00pm
Tuesday 13th August - 1.30pm - 3.30pm
Wednesday 14th August -  10.00am - 12.00pm
Wednesday 14th August - 1.30pm - 3.30pm
Thursday 15th August - 10.00am - 12.00pm
Thursday 15th August - 1.30pm - 3.30 pm

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* 6. If you have a particular restrictions around your availability please add a note below.

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* 7. Disability (if diagnosed)

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* 8. Please describe the difficulties the young person experiences (please complete as fully as possible)

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* 9. Can you tell us any other information that will help us to support the young person i.e. likes, dislikes, other?

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* 10. Siblings: can you provide us with some information about their interests, painting, drawing, making etc.

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* 11. Would you to keep in touch and receive our newsletter?

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