Referral Form This form is for sessions in our second term of 2024 The deadline for registering is Friday 3rd May. Please enable JavaScript in your browser to complete this form.Participant SectionTo be filled out by workshop attendee. All session start week beginning 8th January.Title *Mr, Mrs, Miss, Ms etc.PronounsHe/HimShe/HerThey/ThemName *FirstLastEmailPhoneDate of Birth *day/month/yearAddressAddress Line 1Address Line 2CityState / Province / RegionPostal CodeWhich group would you like to join? (Please select one option only.) *Monday 12pm – 2pm Crochet (18th March)Monday 12pm – 2pm Choir (Castlemilk Community Centre) Starts 15th AprilTuesday 12pm – 2pm Drama (Starts 7th May)Wednesday 12pm – 2pm Guitar (Starts 8th May)Wednesday 12pm – 2pm Visual Art (Castlemilk Community Centre)Wednesday 2:30pm-4:30pm Choir (Starts 8th May)Thursday 2:30pm – 4:30pm Drama (Starts 9th May)Thursday 12pm – 2pm Guitar (Starts 9th May)Reserve List Saturday Visual ArtReserve List Friday Visual ArtReserve List Friday Creative WritingReserve List Monday TaikoThe following sessions are now fully booked. Please check back in July for our September – December term. | Monday Taiko | Friday Creative Writing | Friday Visual Art | Saturday Visual Art |Support NeedsPlease tell us if there is anything you think we should know to help you participate, for example leaving space at the table for wheelchair access, large print or being closer to the tutor to hear better. Referring Agency To be filled out by referrer, if you are self referring please provide emergency contact details.NameFirstLastPhoneEmailRole for instance O.T, CPN, CMHT, Social WorkerDoes the person have a care plan and does this activity contribute towards it?Please describe what outcomes are expected for the participant during their attendance at Nemo ArtsNameSubmit