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To help us in our logistics and planning please fill out this 5 min questionnaire in preparation for our establishment workshop in Ngawi, 25-26 July. 

Your responses will be strictly confidential and only going to Glen Lauder and Philllip Barker as logistical organisers.  If you have questions further questions at all please call contact Phillip on 0211502834 or by email at [email protected].

Thanks for taking the time.
 
 
Contact Information
* First Name : 
* Last Name : 
* Address Line 1 : 
   Address Line 2 : 
* City : 
* State : 
* Zipcode : 
* Preferred Phone  : 
* Preferred Email Address : 
Country : 
 
 
Emergency Contact Information
* First Name : 
* Last Name : 
* Phone : 
* Email Address : 
 
 
 
* Do you have an special dietary requirements or preferences?
   
 
 
 
* Do you have any special medical, physical or accessibility needs we can take into account?
   
 
 
 
Are there any other questions or considerations we could respond to for your comfort and safety at events?