Name *

First Name

Last Name

Phone

(###)

###

####

Availability

Select as many as apply. You have the opportunity to elaborate on this below.

Sat 14th Sep (morning)

Sat 14th Sep (afternoon)

Sat 14th Sep (evening)

Sun 15th Sep (morning)

Sun 15th Sep (afternoon)

Sun 15th Sep (evening)

Potential location

Select all that apply and provide details of the max number of participants you can accommodate in each selected location.

Annex (ground floor)

Auditorium (first floor)

Garden