ColLABorate: Nuneaton & Bedworth
Thank you for registering your place on the colLABorate training and development programme for artists and cultural workers in Nuneaton & Bedworth by filling in the online form below. 

Please get in touch if you require this registration form in a different format or you require support to fill this in.

Your Hosts: 
Lou Lomas
Kirsten Tranter

07841 530484

We very much look forward to welcoming you!

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Name:  *
Which event/s will you be attending? *
Required
For the fourth and final session we would like you to collectively decide the topic focus for this session, so if you have any ideas on what you might like this to be at this moment then please list your thoughts below;
Contact Number: *
Email: *
Please tick below if you would like to be added to our mailing list about the project:
What is your job title/role?
What is/are the main artform/s you work in?
Emergency Contact Name: *
Emergency Contact relation to you: *
Emergency Contact Number: *
Please tell us about any access requirements you may have and let us know any ways in which we can support you on the day, below;
We have a small access budget available. Please let us know if you require any financial support in order to attend any of the training days (travel costs, access support costs, loss of earnings, childcare costs etc) .  
Please tell us your preferred method of communication below:
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Do you have any pre-existing medical conditions or allergies we need to be aware of? If yes please list below.
Do you have any dietary requirements? *
If 'Other' please list here:
Is there anything else you would like to tell us?
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