Nature Immersion Adult Programme Sussex Mar – Nov 2019
Here are some practical and reflective questions for your response. We have included these for two reasons:

1. to help you reflect on if this course is right for you at this time

2. to help us get a sense of who you are and your hopes for what this course will bring you. This is so we can feel into whether the course is able to meet your hopes and intentions

Should we have any questions on the suitability of this course for you, we will follow up with you to discuss.
First Name *
Your answer
Last Name *
Your answer
Email *
Your answer
Address *
Your answer
Age *
Your answer
Gender *
Contact Phone number *
Your answer
Additional Contact number in case of emergencies *
Your answer
Additional Contact number in case of emergencies (optional)
Your answer
Dietary Preference *
Do you have any specific allergies or dietary intolerances? (please include dietary and any other allergies) *
Your answer
Do you have any medical conditions or physical limitations or mental health issues *
Your answer
Do you consent to receiving any necessary first aid *
I give permission for photos/other media to be used in promotional material or for funding opportunities and other projects by Seeing Through Native Eyes *
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy