Booking Form for PAVO Conference & AGM

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Booking Form for PAVO Conference & AGM - 2016

"EARLY INTERVENTION & PREVENTION" - The Third Sector Role in Powys

TUESDAY 8th NOVEMBER 2016 9.45AM - 3.30PM

Cefn Lea Conference Centre, Dolfor, Newtown, Powys SY16 4AJ

Name: *

Organisation: *

Address:

Telephone:

Email address:

I will be staying for the afternoon session and therefore will require lunch.

No thank you I will not be requiring lunch

Clear selection

Requirements (eg access, diet, communication etc)

Would you prefer to contribute to the event in Welsh?

Are you a wheelchair user?

CONVERSATION GROUPS - What Next For ....

Please choose ONE Conversation Group that you would like to attend.
11.30am - 12.45pm

1. BEFRIENDING ? (full)

2. HOME SUPPORT ? (now full)

3. LOCAL AREA CO-ORDINATION ? (full)

4. CHILDREN & FAMILIES ? (now full)

5. PRACTICAL SERVICES ?

6. MENTAL HEALTH & WELLBEING ? (now full)

7. TRANSPORT ?

8. INFORMATION/ADVICE/ADVOCACY ?

9. COMMUNITY DEVELOPMENT ? (now full)

10. VOLUNTEERING ?

10.

Reserve Choice of Conversation Group

If the Conversation Group you have chosen is fully booked - Please indicate your second/reserve choice below:

1r. Befriending ?

2r. Home Support ? (now full)

3r. Local Area Co-Ordination ?

4r. Children & Families ? (now full)

5r. Practical Services ?

6r. Mental Health & Wellbeing ? (now full)

7r. Transport ?

8r. Information/Advice/Advocacy ?

9r. Community Development ? (now full)

10r Volunteering?

Clear selection

Consultation Groups - Opportunity to Influence Policy

Please choose ONE Consultation Group that you would like to attend.
2.00pm - 3.30pm

a) DAY SERVICES

b) DOMICILIARY CARE

c) HEALTH & CARE STRATEGY/INTEGRATED MEDIUM TERM PLAN

d) POWYS COUNTY COUNCIL/PtHB COMMISSIONING

REQUEST FOR: STALL / Space for Leaflets

We are able to provide tables for stalls (W-121cm, D-61cm and H-70cm).

We would be grateful if you could set up the stall before the event, between 8.30am and 9.30am, and remove your car to the car park once stall has been unloaded.

Please give brief description of stall

(eg pop-up banner etc) so that we can ensure you have enough space

I wish to bring small amount of information for display on an existing table

We will provide a spare table for anyone wishing to bring along small amounts of information. Please give brief description.

To help us with future advertising - where did you see this event advertised?

Tick one or more boxes if applicable

PAVO email

PAVO ebriefing

PAVO website

PAVO Twitter

One of PAVO's themed Blogs

Other (please tick before entering detail below)

If 'Other' please state below:

Please bring AGM papers with you to avoid extra photocopies being made.
Car sharing is recommended where possible.

PLEASE CLICK ' SUBMIT' TO SUBMIT YOUR BOOKING.

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of PAVO. Report Abuse

Forms