Thank you for your interest.

Please note, Breathe Dance for Staff Wellbeing is only open to staff of Guy’s and St Thomas’ NHS Foundation Trust.

We look forward to welcoming you.

Personal Details

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*First name/s: *Surname: Mobile number (for WhatsApp Group): *Email: *Confirm email: *How did you hear about the Breathe Dance for Staff Wellbeing? (select from dropdown) Other, Please Specify:
*What is your role in the Trust? *Which hospital/unit/community site are you based at? Do you have any access or support needs to ensure you can take part in this activity? (E.g. wheelchair access, captioning for online activity, large print information, sign language interpretation) If you answered yes to the question above, please give detail below:

*I agree that I am taking part in Breathe Dance for Staff Wellbeing at my own risk. (You need to tick this box in order to be able to take part).

I agree to Breathe Arts Health Research occasionally taking screenshots or short recordings of sessions for promotional and reporting issues. (No personal details will be visible).

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