Shape and Share registration form

If you would like to attend any of our online Shape and Share events, please fill out and submit this form.

Fields marked * are required.

Which Shape and Share event would you like to attend, and on what date? If you'd like to attend more than one event, please list them all here along with the dates. *

If you'd like to attend more than one event, please list them all here along with the dates.

Your details

I am a *

Parent

Guardian

Young person 18 or over

First name *

Last name *

Email address *

Confirm email address *

Postcode *

Address 1 *

Address 2 (optional)

Town/City *

Contact phone number *

Enter a UK phone number (e.g. 0121 234 5678) or a number with an international call prefix.

Appearance

Appearance

Shape and Share registration form

Which Shape and Share event would you like to attend, and on what date? If you'd like to attend more than one event, please list them all here along with the dates. *

Your details

First name *

Last name *

Email address *

Confirm email address *

Postcode *

Address 1 *

Address 2 (optional)

Town/City *

Contact phone number *

Details of your child / children’s sight condition (optional)

Details of any additional support needs for your child / children (optional)

How many adults will be attending? *

How many children will be attending, and what are their names and ages? *

Shape and Share registration form

Which Shape and Share event would you like to attend, and on what date? If you'd like to attend more than one event, please list them all here along with the dates. *

Your details

First name *

Last name *

Email address *

Confirm email address *

Postcode *

Address 1 *

Address 2 (optional)

Town/City *

Contact phone number *

Details of your child / children’s sight condition (optional)

Details of any additional support needs for your child / children (optional)

How many adults will be attending? *

How many children will be attending, and what are their names and ages? *

Can we keep you up to date?