Booking Form
Building the Right Support, Transforming Care Together National Conference
Section 1: Name (s): Job Role: Organisation/Groups Name: Address: ......
......
Postcode: ......
Email Address:
Telephone Number:
Section 2: You will be able to attend two workshops during the conference please select in order of preference 3 choices.
1. Improving support and the involvement of Black, Asian and Minority Ethnic disabled children young people (0-25 years) with learning disabilities and/or autism, who display behavior that challenges, including those with a mental health condition
2. Crisis – what is it, when does it happen, why does it happen and how can we prevent it happening?
3. Transforming Care Partnerships improving involvement and participation of local disabled young people and families.
4. The Mental Health Capacity Act and decision making in education and care.
Choice 1: Choice 2: Choice 3: Section 3:
Do you have any dietary/access requirements? Please provide details
......
...... □ Please indicate if you require a BSL interpreter □ Please indicate if you require an induction loop
Vegetarian food and a prayer room will be provided.
Section 4 Registration fees
Please tick the appropriate box and complete your details below.
(Subsidised places for parents/carers, disabled persons and small voluntary, community groups)
Statutory and large organisations □ £45 I am a parent/carer □ Free Small, voluntary, community groups □ Free
□ I enclose a cheque for £ made payable to Include Me TOO □ Please invoice me for £ at the address above/at the following address (delete as appropriate).
Invoice address: Name ......
Address ......
......
Postcode ......
To book a place please complete booking form by Wednesday 22nd March 2017 and email or post to:
Mina Patel, Include Me TOO, Newhampton Arts Centre, Dunkley Street, Wolverhampton, West Midlands WV2 4BH
Telephone 01902 711604 / 01902 399888 Email [email protected]
Thank You