Elan Links Retreats Interest Form
Elan Links, Elan Estate Office, Elan Village, Rhayader, Powys, LD6 5HP (view map)
T. 01597 811527 E. retreats@elanvalley.org.uk

Please register your interest by completing this form. Please note that we are not able to provide staff for support, overnight supervision or personal support, only for activity leaders. Young people must be accompanied by leaders at an appropriate level for the group. Transport is not provided. We request a £15 per person deposit for each person that will attend the retreat. This is payable along with the return of all booking and consent forms. The deposit is refundable at the end of the retreat, however for those individuals that do not attend the retreat, the deposit is non-refundable.

Email address *
What is Your Name? *
Your answer
What is the name of your group/organisation?
Your answer
What is your address and postcode? *
Your answer
What is your phone number and/or mobile number? *
Your answer
Which dates is your group available? *
Your answer
Post code where the group meets/lives? *
Your answer
Tell us about your group - what does it do?
Your answer
We offer these retreats to groups experiencing economic or other challenges. How does this apply to your group? *
Your answer
How many are in your group? *
Your answer
How many of the group are male participants
Your answer
How many of the group are female participants
Your answer
How many of the group have a gender identity not covered above?
Your answer
What is the age range of your group?
Your answer
How many staff would attend?
Your answer
What are your group's language needs?
Your answer
Do members of the group have any access or communication needs, or disabilities?
Your answer
What is your preferred accommodation option?
How many nights would you like to stay?
Travel arrangements *
Required
Accommodation and activity costs *
Required
Permission for keeping research data *
A KESS 2* PhD student at Aberystwyth University is working with Elan Links and activity providers, Tir Coed, until September 2021 to assess our activities and identify ways in which we can improve in future. Part of this research will use the information provided on this enrolment form and gathered in monitoring forms completed during your retreat and you may be contacted in future to discuss your experiences of activities. The information you provide may be used in reports and presentations to be shared with others. Any information you provide about individuals will be anonymised and stored securely. You can withdraw your information from this research project by contacting Eleri (mep13@aber.ac.uk) by 30 March 2020. *Knowledge Economy Skills Scholarships (KESS 2) is a pan-Wales higher level skills initiative led by Bangor University on behalf of the HE sector in Wales. It is part funded by the Welsh Government’s European Social Fund (ESF) convergence programme for West Wales and the Valleys. Please mark the boxes:
Required
Data Promise *
Elan Links and Tir Coed will hold your data for the duration of its contractual obligation to funders, plus one year. We process your data to meet funders’ requirements and to support your engagement with training and activities. We may request to keep your contact details on completion of a project so that a mentor can support your continued progression, which will require your written consent. We will not share your data with any outside party and your data will be held in a password protected folder on the Cloud and stored securely in the Elan Links and Tir Coed offices. Please mark the following boxes to confirm:
Required
THANK YOU for completing this form. We will be in touch!
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Tir Coed. Report Abuse - Terms of Service
Google Forms