Sign Up Form - ICS Staff Wellbeing Taster Workshops

Thank you for your interest.

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

Personal Details

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

Breathe Poetry for Connection and Processing (online), Tuesday 12th April, 1-2pm
Breathe Sing for Stress Relief (In person), Wed 13th April, 6:30pm – 7:30pm
Breathe Creative Breaks for Unwinding (online) Tuesday 19th April, 1pm – 1:45pm
Breathe Dance for Mind and Body (In person), Thurs 21st April, 6:30pm – 7:30pm
Breathe Magic for Mental Health (online), Tues 26th April, 1 – 2pm

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? What area of the ICS do you work within (e.g. 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.

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