Referral Form We are now open for new referrals to our January 2025 term. Classes get filled up fast so please do get your referral in ASAP to avoid disappointment. Please enable JavaScript in your browser to complete this form.Participant SectionTo be filled out by workshop attendee. All session start week beginning 6th January 2025Title *Mr, Mrs, Miss, Ms etc.PronounsHe/HimShe/HerThey/ThemName *FirstLastEmailPhone *Date of Birth *day/month/yearWhich group would you like to join? (Please select one option only.) *Monday 11am – 1pm Choir (Castlemilk Community Centre) 6th JanuaryWednesday 12pm – 2pm Visual Art (Castlemilk Community Centre) 8th JanuaryMonday 12pm – 2pm Crochet 6th JanuaryMonday 2pm – 4pm Taiko Drumming 6th JanuaryTuesday 12pm – 2pm Drama 7th JanuaryWednesday 12pm – 2pm Guitar 8th JanuaryWednesday 2:30pm-4:30pm Choir 8th JanuaryThursday 12pm – 2pm Guitar 9th JanuaryThursday 2:30 – 4:30 Drama 9th JanuaryFriday 12pm – 2pm Visual Art 10th JanuaryFriday 2:30 – 4:30 Creative Writing 10th JanuarySaturday 12pm – 2pm Visual Art 11th JanuarySupport 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 ArtsEmailSubmit