Conference & Festival 2017 Application Form
To stay in touch and receive all updates on time, we highly recommend that you  subscribe to the Conference Newsletter: http://eepurl.com/bmv-05
Sign in to Google to save your progress. Learn more
HOW TO USE THE FORM
Page 1 is for every person attending, including children;
Pages 2 and 3 are for adults only
Page 4 should be completed by the person who will be making the payment
At the end of every page you will be given the option to either submit or continue.
Please note that if you choose to apply online, we will require your email address.
Title
as will appear on your badge; you can leave it blank
First Name *
Surname *
If you don't want your surname to appear on the badge, please put it in brackets; we need it for admin purposes
Other name
Enter here your Christian or civil other name; also If your spouse of child(ren) have a different surname, please enter it here
Room Type *
Pleased give us an indication of what room type you are booking or day visitor; you will enter the details later
Required
Age *
Select age or 'adult' if older than 16; required by the conference centre
Disabled
Only click if it applies to the registrant.
If disabled, please describe your disability
Dietary Requirements
Other Dietary Requirements
Please select 'Other' in the previous question before filling this field
Is this form for an adult (17 years or more)? *
If yes, you will be redirected to the next page; if not, you will have the option to submit
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms