Sign Up Form - ICS Staff Wellbeing Workshops Summer 2022

Thank you for your interest.

Please note, Breathe Arts for Staff Wellbeing Workshops are only open to staff working within Our Healthier South East London Integrated Care System (ICS).  

Personal Details

Fields marked with * are mandatory.

*First name/s: *Surname: *Email: *Confirm email:
What summer workshops would you like to sign up for? (select all that apply)

Breathe Poetry for Connection and Processing (online)
Breathe Song and Sound Ceremony for Healing (online)
Breathe Stretch to Live Music (online)
Breathe Drawing for Unwinding (online)
Breathe Dance for Mind and Body (In person)

How did you hear about Breathe’s Arts for Staff Wellbeing Programme? (select from dropdown) If you answered 'Other' to the question above, please specify: Are you a health care or social care worker? Which South East London ICS trust do you work in? (i.e. South London and Maudsley) 

What is your role?

Which department do you work within?

  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 details:

Do you agree to Breathe Arts Health Research occasionally taking screenshots or short recordings of online and in person sessions for promotional and reporting issues? (No personal details will be visible).
Yes, I agree.

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.

By supporting our work, you're enabling us to reach more people with our creative healthcare programmes

Find out about other ways to support us

One-off Regular

Monthly

Annually

Donate £10

Find out about other ways to support us

Resources for...

Magic Trainers

Breathe Magic for Rehabilitation

Breathe Magic Intensive Therapy Programme

Breathe Magicians

Breathe Sing for Lung Health

Breathe Melodies for Mums

Breathe Harmony

Find a group or programme