Art Club Social Form

Which block would you like to book? *

Name *

Address *

Contact Number *

Email *

Are there certain skills or crafts that you would like to learn? *

What would you hope to gain from the experience? *

Is there anything else you would like to add?

Funding allows us to provide tea, coffee and snacks for you. Do you have any dietary requirements, allergies or preferences? *

We have a small travel bursary to help with costs. Do you need any help or support with your transport costs to get to Birkhill for sessions? *

Is there anything else you feel we should know? Eg any medical conditions or additional needs with which we can support you.

contact

Birkhill House

Earlston TD4 6AR

email & phone

helloatbirkhillhouse@outlook.com

07779 339 653