Tikologo Booking Form
Please complete the following booking form if you would like to attend an event at the Tikologo Permaculture Centre. You will need to fill in one form per event and one per person so that we can record the information correctly.

Payment information is included in the final section of the form.

Name of Event *
First Name *
Your answer
Surname *
Your answer
Email address *
Your answer
Cellphone Number *
Your answer
Room Preference
If you would like to share a room with someone please specify who
Your answer
Gender
Do you have any medical conditions or dietary requirements that we need to know about?
Please note that the kitchen caters 3 vegetarian meals daily and any other non-medical dietary requirements will not be specially catered for.
Your answer
Emergency contact person (name and phone number) *
Your answer
Next
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