Introduction to Directing for D/deaf and Disabled DirectorsLeeds Playhouse and RTYDS

Please complete this form and email it to: johnr.wilkinson@leedsplayhouse.org.uk . You

can also bring your completed form with you to a Taster Session. There will be blank

copies available at the Taster Sessions for you to fill out if you can’t do this beforehand.

Name:

How did you hear about Introduction to Directing?

Your details

Address:

Post Code:

Email Address:

Telephone/Mobile:

To which council does your household pay

Council Tax:

Your Age:

D.O.B:

Emergency Contact name:

Emergency Contact number:

Why would you like to take part in our Introduction to Directing course?

(you are welcome to film or record yourself answering this question if you would prefer)

Have you had any experience in the theatre and if so, what? You do not need to have

had any so you can choose to leave this question blank.

(you are welcome to film or record yourself answering this question if you would prefer)

Please let us know how we can best support you with your access requirements:

(you are welcome to film or record yourself answering this question if you would prefer)

Availability – please tick the dates you are available for the course:

Session 1 Wednesday 10th April PM 18:30-21:30 [ ]

Session 2 Wednesday 17th April PM 18:30-21:30 [ ]

Session 3 Wednesday 24th April PM 18:30-21:30 [ ]

Session 4 Wednesday 1st May PM 18:30-21:30 [ ]

Session 5 Wednesday 8th May PM 18:30-21:30 [ ]

Session 6 Wednesday 15th May PM 18:30-21:30 [ ]

Session 7 Wednesday 22nd May PM 18:30-21:30 [ ]

Session 8 Wednesday 29th May PM 18:30-21:30 [ ]

You will also be given free tickets for Around the World in 80 Days and Be My Baby. Full list

of dates including accessible performances can be found on www.leedplayhouse.org.uk.

I give permission to be filmed & photographed during the course for promotional use.

(Please sign here) …………………………………………………………... Date:……………………….

Please print name: