Hesley Group Autism Event - Online Booking Request Form

***FULLY BOOKED - WE HAVE RECEIVED A MASSIVE NUMBER OF REQUESTS FOR PLACES WHICH IS SLOWING DOWN THE CONFIRMATION PROCESS - PLEASE DO BEAR WITH US - NEW REQUESTS WILL BE HELD ON A CANCELLATION LIST***

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.

* 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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