LindaR

Author Booking request form

This is for onsite bookings requests.

Please see Lighthouse events for the next online session taking place.

Organisation *

Full Name *

Contact number *

Email *

Position *

Organisation Address *

Address *

Address line 2

City *

State / Region

Postal / Zip Code *

Country *

United Kingdom

Event Address

If the same as organisation address then please repeat

Address

Address line 2

City

State / Region

Postal / Zip Code

Country

United Kingdom

Type of location *

Tick relevant box

School/ education

Community event

Private event

Attendees *

Tick relevant box

0-25

25-50

50-100

How many children (4-11)? *

How many adults (18+)? *