Expression Of Interest Form First Name Last Name Email Contact Number Name Of Organisation Type Of Organisation - Select -NurseryYouth Club \ GroupSchool / AcademyUniversity / CollegeAdult TrainingLocal Authority (Police, Housing)Community OrganisationCharityOtherAddressAddress Line 1 Address Line 2 City County Post Code Country Select CountryAfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelauBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSão Tomé and PríncipeSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (Dutch part)Saint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom (UK)United States (US)United States (US) Minor Outlying IslandsUnited States (US) Virgin IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabwePlease Select the Service you require... - Select -Creative Educational ProgrammesSelf Development ProgrammesTherapeutic Art Classes / ClubsCelebrations / MilestonesEventsCommunity ProjectsOther (If not sure)Please select Programme/s - Select -Early Learners 3-5 YearsWrite Draw Create & Make 6-12 YearsCustomise Your Life 13-21 YearsWho Are You 21+Discover Yourself (Masterclass)Express Yourself (Masterclass)One 2 One (Mentoring)Today CEO (Professional Development)Date of Delivery Duration (How long would you like the programme to run?) - Select -I Day2 Days3 Days4 Days1 Week2 Weeks3 Weeks4 Weeks5 Weeks6 Weeks7 Weeks8 Weeks9 Weeks10 Weeks12 WeeksFrequency (Sessions delivered during the week) - Select -I Session Per Week2 Sessions Per Week3 Sessions Per Week4 Sessions Per Week5 Sessions Per Week6 Sessions Per Week7 Sessions Per WeekFrequency (Sessions delivered during the day) - Select -I Session2 SessionsHalf Day (3 Hrs) CarouselFull Day (6 Hrs) Carousel DATA PROTECTION - LEMONPOP WORKSHOPS IS COMMITTED TO MAKING ONLY RESPONSIBLE USE OF YOUR DATA. OUR SECURITY PROCEDURES MEAN THAT WE MAY REQUEST PROOF OF IDENTITY BEFORE WE ENGAGE IN ANY ACTIVITIES. THE INFORMATION YOU SHARE WHEN YOU CONTACT US WILL ONLY BE USED TO RESPOND TO YOUR REQUEST AND IN RELATION TO THAT REQUEST. WE WILL NOT SHARE YOUR DATA WITH ANY 3RD PARTIES. FOR FURTHER DETAILS YOU CAN VIEW OUR PRIVACY POLICY AT WWW.LEMONPOPWORKSHOPS.COM DATA PROTECTION - PLEASE TICK THE BOX BELOW TO CONFIRM YOU AGREE WITH OUR DATA PROTECTION POLICY Submit Form
