Werq it! - 2017 (Escape Room)
Hello fellow detectives!

Are you seeking for an adventure, where you get to meet new people and solve a series of puzzles together?

Werq it! is our programme of casual gatherings, each with a different theme. This time, we are organising a fun get-together just for you! All queer individuals are welcome, regardless of national, racial, religious, gender or sexual identity.

Date: 25 February 2017, Saturday
Time: 1.30pm
Venue: Location will be e-mailed to registered participants
Budget: $28

Warmest,
The Purple Alliance Team
http://thepurplealliance.org

(By submitting this form, I give my consent for The Purple Alliance to collect, use and disclose the information for confidential and non-commercial purposes only, in accordance with the Personal Data Protection Act 2012.)

Name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Sexual orientation/Gender identity
Your answer
Personal gender pronoun(s)
Example: He/Him, She/Her, They/Them etc.
Your answer
Nationality *
Your answer
Dietary restrictions/food allergies *
(Halal/Kosher/Jain/Vegetarian/Vegan/allergies to gluten and nuts/lactose intolerance, etc.)
Your answer
If you have a disability, please let us know what we can do to support your full participation in the event
(e.g., sign language interpretation during discussions, a nursing aide to and from the event, etc.)
Your answer
E-mail address *
Your answer
Contact number *
Your answer
What do you hope to achieve from this event? *
Your answer
What are some topics you'd like to discuss? *
Your answer
Is there anything you'd like to tell us?
Your answer
Would you like us to keep you informed of future events? *
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms