Playmakers 2019 Application Form

School name

Contact Name:

Job Title:

Borough:

Contact No/Mobile:

Email:

Are you applying for deaf children or children with speech & language difficulties?

How many children would you like to involve in the project?

Please describe the group

This project includes an inspiration trip to a theatre performance. Do you require a BSL interpreted or captioned performance? Or neither?

Do you have any particular days and times of the week that would work best for you for the in-school sessions?

The project is scheduled to commence after SATS. If you have a preferred time of year, please let us know here.

Will your school release you to attend a CPD day at the start of the project?

Yes No Unsure

Please state what you hope your group will gain from the project

Please note that we have a restricted number of places available for this programme and may not be able to include all schools that apply.

Cost: £100 plus £8 per theatre ticket

Due to GDPR Regulations, we need your permission to keep your data. If you answer "no" to the following two questions, we will not be able to email you in the future.

Are you happy to receive theatre offers from us in the future? *

Yes No

Are you happy to receive emails from us (approx. once a year) about other Mousetrap opportunities, events, areas of support, e.g. ways you can help Mousetrap like casting your vote for us to win an award? *

Yes No

Terms and Conditions

By completing this form you are agreeing to the terms of this project:

1) If you cancel your theatre booking once Mousetrap Theatre Projects has paid for the tickets you are liable to pay our full cost of between £15 and £17.50 per ticket

2)If you cancel or change the dates of the project within 2 weeks of the start date you are liable to pay our full facilitator fees of £130 per facilitator per session

I agree to the terms and conditions *

I agree