ITA Inclusion Conference 2019 Booking Form Thank you for booking a place on the Isle of Wight Inclusion Conference 2019. It will take place on 12th June 2019 at the Isle of Wight College with refreshments from 1.00pm. Please complete the following questions. OK Question Title * 1. Contact Details Name Company Address Address 2 City/Town Postcode Email Address Phone Number OK Question Title * 2. Role OK Question Title * 3. Requirements Hearing Loop Braille Access Audio None Other (please specify) OK Question Title * 4. Dietary Requirements Vegetarian Vegan None Allergy (please specify) OK Question Title * 5. Contact details for invoicing Name Role Email Address Phone Number OK Question Title * 6. Permission received to attend event from Line Manager Yes No OK Question Title * 7. I understand that by completing this form, I agree to attend the above named event and to pay the required charge. I understand that I must inform the Island Teaching Alliance in writing, if I am unable to attend the above named event. I understand that cancellation up to four weeks in advance of the event will incur a 50% refund and beyond this a full charge will be made. Agree OK DONE