LBL CON2020
Please fill in the following information. We endeavour to get back to you within 72 hours.
All fields marked with a * must be completed
Email address *
Full Name *
Your answer
Preferred name *
Your answer
Date of birth (We reserve the right to confirm this on the day, so please be prepared to show some photo ID) *
MM
/
DD
/
YYYY
Did you attend LBL CON2019? *
Are you known to us? *
If you answered Yes to the previous question, please type Not Applicable in the box below. If you answered "No" to the above please provide, names and email addresses of two other community members who are known to us and can vouch for you and your behaviour. Please note, your application will not be approved until this information is received and confirmed. *
Your answer
Do you require a single room? *
Do you require a ground floor room? *
Do you have any medical conditions we need to be aware of?
Your answer
Are you part of a couple? Please list the Full Name and Preferred Name they have put on their application form (they will need to submit their own form too)
Your answer
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