Request edit access
CODA Wellbeing Conference Registration
Registration form for CODA Wellbeing Conference on the 23rd March 2019 at Limerick Deaf Community Centre (96A O'Connell Street, Limerick) from 10.30am-5.30pm. Tea and coffee are included. NB: lunch won't be provided so please bring a packed lunch or there will be time to grab lunch in the surrounding area.
Name: *
Your answer
Email address: *
Your answer
Are you a CODA? *
Which kind of workshops are you interested in attending?
Your answer
Are you interested in attending dinner after the event? We are going to Cobblestone Joe's, a 5 minute walk from the Deaf centre (There are vegan and vegetarian options) Please let us know so we can reserve a seat for you. *
Have you been to a CODA event before? *
If you have any additional requirements please let us know.
Your answer
Never submit passwords through Google Forms.
This form was created inside of CODA UK & Ireland. Report Abuse - Terms of Service