Sign up form: Breathe Box Office Thank you for signing up to Breathe Box Office. Please note membership to this scheme is only open to staff and official volunteers within Guy’s and St Thomas’ NHS Foundation Trust. Please fill out mandatory fields Personal Details Fields marked with * are mandatory. *First name/s: *Surname: *Email (only valid GSTT email addresses will be accepted): *Confirm email: *What is your job role within the Trust? *How did you hear about the Breathe Box Office? (select from dropdown) Staff Bulletin Email Whatsapp Poster Through a Colleague Intranet Directly through Breathe Other If you answered 'Other' to the question above, please specify: *Do you have any access or support needs to ensure fully enjoy and partake in these events? (E.g. wheelchair access, captioning, audio description, large print information, BSL interpretation) Yes No If you answered 'Yes' to the question above, please give details: What offers would you most like to receive from us? (E.g. theatre, dance, galleries, concerts, comedy etc.) Are you happy to receive occasional emails with other Breathe Staff Wellbeing opportunities for GSTT staff? Yes, please! Would you like to sign up to our newsletter? Yes, please sign me up. By submitting this form you are consenting to our privacy policy.