Jo Naughton - FREE TO BE ME

Would you like to register for the Adult or Children's event, or both?

Adult Event
Children's Event
Both Events

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Your Name*

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Age*

14-19
20 and over

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Please check below if you would like to receive Jo’s weekly blog via email.*

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Names of Other Attendees

Do you want to register other adults (non-teenagers) to the Adult event?*

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How many other adults (non-teenagers) would you like to register for the Adult event?*

Name of Adult Guest 1*

Name of Adult Guest 2*

Name of Adult Guest 3*

Name of Adult Guest 4*

Name of Adult Guest 5*

Do you want to register other teenagers for the Adult event?**

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How many other teenagers would you like to register for the Adult event?*

Name of Teenager 1*

Date of Birth of Teenager 1*

Name of Teenager 2*

Date of Birth of Teenager 2*

Name of Teenager 3*

Date of Birth of Teenager 3*

Name of Teenager 4*

Date of Birth of Teenager 4*

Name of Teenager 5*

Date of Birth of Teenager 5*

Do you or any of your guests have any food allergies?*

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No

If yes, please share:

How many children would you like to register for the Children's event?*

Name of Child 1*

Date of Birth of Child 1*

Name of Child 2*

Date of Birth of Child 2*

Name of Child 3*

Date of Birth of Child 3*

Name of Child 4*

Date of Birth of Child 4*

Name of Child 5*

Date of Birth of Child 5*

Do any of the children have any food allergies?*

Yes
No

If yes, please share:

Do any of the children have any special needs or medial needs that we need to be aware of?*

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Do you have a disability?*

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If yes, please specify*

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Any special dietary requirements*

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Vegetarian
Gluten Free
Vegan
No Nuts
Low Fat
Low Sugar
Dairy Free
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How did you hear about Free to be me?*

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Terms & Conditions*

Check the box below to confirm that you have read and accept the terms and conditions, which can be found here.

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By submitting this form and registering for FREE TO BE ME, you agree to your details being stored in Jo Naughton's MailChimp account. We will only use your details to contact you with regards to the upcoming Healed for Life event.

Cancellation Policy: No Refunds.

Free To Be Me - Adult Event (Personal Ticket)*

Price: £ 90.00

Free To Be Me - Adult Event (Personal Ticket)*

Price: £ 49.00

Free To Be Me - Adult Event (Other Guests)*

Price: £ 49.00

Free To Be Me - Adult Event (Other Guests)*

Price: £ 49.00

Free To Be Me - Adult Event - Teenager (Personal Ticket)*

Price: £ 49.00

Free To Be Me - Adult Event - Teenager (Personal Ticket)*

Price: £ 49.00

Free To Be Me - Adult Event - Teenager (Other Guests)*

Price: £ 49.00

Free To Be Me - Adult Event - Teenager (Other Guests)*

Price: £ 49.00

Free To Be Me - Children's Event Only*

Price: £ 49.00

Free To Be Me - Children's Event*

Price: £ 49.00

Total

£ 0.00

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FREE TO BE ME – UK

ADULTS (14 Yrs & Up) – Saturday 4th November

CHILDREN (6 – 13 Yrs) – Sunday 5th November

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