Keeping Chickens: Booking Form
Please complete and submit this form to book a place on the course.

Places are limited, so please return this form with payment as soon as possible as places will be allocated on a first come first served basis on receipt of payment. Booking forms will only be accepted with payment.

We will contact you to confirm your place when we receive payment. If you do not hear from us please phone to check you have a place, in case your booking form did not arrive. 020 8404 1522 or food@ecolocal.org.uk

Tea and coffee will be provided. Please note, gardening is very fulfilling and rewarding work but sometimes involves getting a little dirty. Only wear clothes that you don’t mind getting mucky and wear wellies or boots.

First Name *
Your answer
Surname *
Your answer
Which course are you booking? *
Please choose the course you would like to book and pay for.
Phone number *
Your answer
Email *
Your answer
I give my permission for EcoLocal to take photos of me while completing the course for use in publicity *
How did you hear about the course?
Your answer
Do you have any allergies, disabilities or health issues?
e.g asthmatic, back pain, allergic to bee stings. Please give details
Your answer
Emergency contact /next of kin *
Please give name, address and phone number
Your answer
I understand that gardening can be a physical, and sometimes dirty, activity. I have not knowingly withheld any information about my health which might affect my ability to take part in this course. *
Required
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