'Designing Creative Spaces' booking form, Hitchin 2020
Ron's Plot, Burford Way Allotments, Hitchin, SG52UY. (Up the lane off Burford Way towards and past Smartys Day Nursery with entrance to the left).
Email address *
Full Name *
Your answer
Address
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Phone number *
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School / Organisation if you are representing one
Your answer
Please tell us about any particular needs or medical conditions we should be aware of (e.g. mobility, allergies, learning difficulties, epilepsy etc)
Your answer
Do you have any prior experience or knowledge of permaculture?
(Please detail any courses, things read and/or other experiences)
Your answer
Do you have any experience in working with children and/or creating learning or play spaces?
(Please detail any courses done as well as practical experiences, parenting counts too!)
Your answer
What is your main motivation for joining the course? And what are your hopes and expectations?
Your answer
How did you hear about this course?
Any other questions or comments
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Financial contributions
We want to make this course available to everybody, no matter your financial circumstances. If you would like to join us but feel unable to pay any of the options listed below, PLEASE contact us and we will do our very best to welcome you. Course fees are on a sliding scale depending on your income. *
Equal Opportunities data collection (you do not have to disclose this info however, it is useful for us to collate).
Age (approx)
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Ethnicity
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Gender
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Photography *
Please tick ALL that apply:
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