Hesley Group Autism Event - Online Booking Request Form

**FULLY BOOKED** Please be aware that our event is currently fully booked. We have received an overwhelming number of requests for places and are holding a cancellation list so please only request a place if you are happy to be added to to that list. If you have already booked a place, we have confirmed all successful places so please check your email inboxes and occasionally our emails get caught in spam/junk/trash filters so please do check those also.
PLEASE COMPLETE ONE FORM PER PERSON WISHING TO REQUEST A PLACE.

We will endeavour to confirm whether you have been allocated a place as soon as we can by EMAIL and TEXT therefore by submitting your request for a place you are consenting to us contacting you about this event via those methods. 

Please note that previous events have received an overwhelming number of requests for places so please bear with us whilst we process requests and confirm those who are successful.

REQUESTING A PLACE WILL NOT AUTOMATICALLY BOOK YOU A PLACE ON TO THIS EVENT - PLEASE ENSURE YOU HAVE RECEIVED A CONFIRMATION EMAIL FROM US PRIOR TO ATTENDING.

* 1. What is your first name?

* 2. What is your last name?

* 3. What is your current Job Title?

* 4. What is the name of the organisation that you currently work for?

* 6. What is your mobile contact number? (only event information texts will be sent to this number)

* 7. At what email address would you like to be contacted?

* 9. Why is this event of interest to you?

* 10. Do you have any special dietary requirements, and if Yes what are they?

* 11. Do you have any specific access requirements, and if Yes what are they?

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