Young Adult Quaker Communities: Booking Form Event Details: Friday 31st Jan – Sunday 2nd Feb. The Beeches, 76 Selly Oak Road, Birmingham Please indicate which event you are interested in attending * REQUIRED Young Adult Groups Gathering Beyond Young Adulthood: what’s next? To attend part of each event, please tick and we’ll contact you with more details When will you arrive? * REQUIREDThe event runs from 5pm on Friday 31 Jan – 1pm on Sun 2 Feb. You are welcome to arrive and leave when it suits you. If you are only attending for part of the event, please let us know when you'll arrive and leave. Friday evening Sat morning Sat afternoon Other (please specify below) What time will you arrive? When will you depart? * REQUIRED Sat evening Sun morning Sun afternoon Other (please specify below) What time will you leave? Contact InformationName * REQUIRED First Last Preferred Name PronounsHe, She, They etc. Address Street Address Address Line 2 City ZIP / Postal Code Email * REQUIRED Phone Number * REQUIREDDate of birth DD slash MM slash YYYY You may contact me by * REQUIRED Email Phone Post Tick here if you would like travel directions Yes Further DetailsDietary requirements * REQUIRED None Vegeterian Vegan Gluten Free Non dairy (i.e. dietary intolerance) Diabetic Low Fat Food intolerance/allergiesDo you have any food intolerance or allergies that the catering team should be made aware of? Do you have any access needs that we should know about?If you have access or communications requirements, either in relation to the building or participation in the course, please let us know as soon as possible. In our experience this gives us a better chance of meeting your requirements. We will try to meet all access and communications requests, but cannot guarantee provision. If there is anything in relation to your physical or emotional wellbeing that you would like the course tutors to be aware of, please let us know.AccomodationDo you require accomodation? Yes No Would you prefer an ensuite or standard room? Ensuite Standard Don't mind Please tell us a little bit about your interest in the course you are bookingAre you currently part of a Young Adult Quaker group? Yes No How did you hear about this course? EYAQ Newsletter Facebook Twitter Instagram Word of mouth Other ChildrenThose with families are very welcome to bring children – we’ll have a crèche and also family-friendly, all-age sessions. We'll be in touch with more details of the programme for children shortly. Will you be bringing children to the event? Yes No How many children will you be bringing?Please let us know your child/children's name/s and age/sDo your children have any access needs, requirements or health conditions that we need to be aware of?This helps us plan for or be aware of any needs the child has. We may be in touch with you to discuss how best to support or to request further information.Payment DetailsThe cost for the event is £240pp for the weekend, however we do not wish the cost to prevent anyone from attending. Please indicate below if you would like to pay the whole amount or part of the amount, or if you would like to apply for a grant to cover the cost. We will then email you with more details. If you need help with travel costs in order to attend we can either arrange to pay for these in advance and send the tickets out to you, or you can claim a refund by emailing your travel receipts after the event.Please indicate how you will pay I am paying myself in full I am able to partially pay I am applying for a grant Other (please specify below) Other (please specify below) Data Protection * REQUIREDFor course administration, Quaker Life keeps all details confidentially on computer in accordance with the Data Protection Act. Please tick here to give your consent I consent I do not consent