Sign Up Form – ICS Staff Wellbeing Workshops Summer 2022

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) Staff Bulletin Email Whatsapp Poster Through a Colleague Intranet Directly through Breathe Other If you answered 'Other' to the question above, please specify: Are you a health care or social care worker? Health Care Social Care 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) yes no If you answered 'Yes' to the question above, please give details: