| Title & First Name: | |
| Surname: | |
| Spouse Title & First Name (if attending): | |
| Address: | |
| Address 2: | |
| City/Town: | |
| County/State: | |
| Postcode: | |
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| Telephone: | |
| Email Address: | |
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| Church: | |
| Ministry: | |
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| Special Needs/Dietary Requirements: | |
| Age: | |
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| I require lunch on: | Tues - Wed - Thurs |
| This will be my first time: | |
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| Accommodation Type: | * this field updates as you fill in the form |
Children (requiring childcare)Due to limited childcare spaces, we are now only taking childcare bookings over the phone. If you would like to book your child into childcare for the conference, please phone: 0115 988 7067. |