Attendees Form

• Ticket Name

  Your details

  Descriptions...

  Name

  Email

  Address Line 1*

  Address Line 2*

  Address Line 3

  Town/City*

  County

  Postcode*

  Home Telephone Number*

  Work Telephone Number

  Mobile Telephone Number

  Relationship to child with vision impairment* Mother Father Guardian/carer Other

  if "Other", please give details

  Special Dietary Requirements * None Vegetarian Vegan Dairy free Gluten free Halal Nut allergy Other

  Special Dietary Requirements: Other/Comments

  Print format Standard Print Braille Large Print

  How did you hear about this event?* Search Engine VI Support Charity Social Media Facebook Social Media Twitter Social Media Instagram Social Media LinkedIn Sight Village Exhibition Central Sight Village Exhibition London Sight Village Exhibition Manchester / Leeds Sight Village Exhibition Devon Sight Village Exhibition Wales Exhibition / Event (not Sight Village) Third party event at NCW Advertisement Email from NCW PR (media article – radio/TV/magazine/newspaper) Local Authority contact QTVI in mainstream school SENCo in mainstream school Teacher Teaching Assistant in mainstream school Recommendation from another family NCW student Parent of current NCW student Other

  More information about where you first heard about NCW

  Mailing List * Yes please - keep me on your mailing list. I would like to hear about news and events at NCW. Your information will not be shared with third parties No thank you - I do not wish to be contacted

   

  Details of child with vision impairment

  Descriptions...

  Name of child*

  Date of Birth*

  Print format* Standard Print Braille Large Print

  Details of vision impairment

  Current School

  Special Dietary Requirements * None Vegetarian Vegan Dairy free Gluten free Halal Nut allergy Other

  Special Dietary Requirements: Other/Comments

  Would you like a tour of the campus during your time at the event?* Yes No

   

  Details of Additional Attendees (if required)

  Please include all additional people attending (children and adults) so that we can plan and cater accordingly.

  Additional Attendee #1

  Descriptions...

  Name

  Age (if under 18)

  Print format Standard Print Braille Large Print

  Special Dietary Requirements Vegetarian Vegan Dairy free Gluten free Halal Nut allergy Other

  Special Dietary Requirements: Other/Comments

  Additional Attendee #2

  Descriptions...

  Name

  Age (if under 18)

  Print format Standard Print Braille Large Print

  Special Dietary Requirements Vegetarian Vegan Dairy free Gluten free Halal Nut allergy Other

  Special Dietary Requirements: Other/Comments

  Additional Attendee #3

  Descriptions...

  Name

  Age (if under 18)

  Print format Standard Print Braille Large Print

  Special Dietary Requirements Vegetarian Vegan Dairy free Gluten free Halal Nut allergy Other

  Special Dietary Requirements: Other/Comments

  Additional Attendee #4

  Descriptions...

  Name

  Age (if under 18)

  Print format Standard Print Braille Large Print

  Print format Standard Print Braille Large Print

  Special Dietary Requirements: Other/Comments

  Additional Attendee #5

  Descriptions...

  Name

  Age (if under 18)

  Special Dietary Requirements Vegetarian Vegan Dairy free Gluten free Halal Nut allergy Other

  Special Dietary Requirements Vegetarian Vegan Dairy free Gluten free Halal Nut allergy Other

  Special Dietary Requirements: Other/Comments

   

  Accessibility & Permissions

  Please tick if any member of your party is a wheel chair user

  Please tick if any member of your party needs a sighted guide

  Please let us know below if you consent to photographs/video being captured on the day. We may use these in the promotion of future events via our website and on social media* Yes I consent No I do not