Form

Copy and paste this form into an email and return it to nospam@mrmattypants@gmail.com or nospam@rhiannonforth@gmail.com (take the nospam@ bit out!). Cheers

Knowledgelab 4

February 16th-18th

Participation Form

Name:

Phone number:

Email:

Where are you coming from? When do you plan to arrive?:

Do you need accomodation ? Friday/Saturday night or both?

How much can you afford to pay? (Donations - suggested £10 unwaged, £20+ waged)

Have you been to Knowledgelab before (if so which one)?

Would you like to adopt/suggest a workshop? (If so please give details)

• Name of workshop:

• Brief description:

• Time needed (up to 3 hours):

• Max no. participants?:

• Will you need a facilitator?

Which suggested topics interest you the most?

Which workshops do you plan to attend (proposed workshops can be viewed at www.knowledgelab.org.uk/wiki/FourthKnowledgeLab )?

Do you have experience in facilitation? Would you be prepared to facilitate a workshop?

What are your interests?

Are you involved in any organisations/campaigning groups?

Do you have any special dietary requirements (all food will be Vegan)?

Do you plan to take children? (If so please email us separately)