Question Title

* 1. Full name

Question Title

* 2. Email address

Question Title

* 3. Phone number/mobile number

Question Title

* 4. Date of Birth

Date

Question Title

* 5. Are you a member of the Peter Mac Men's Shed?

Question Title

* 6. Do you identify as being from any of these diverse backgrounds? Please select all that you identify with:

Question Title

* 7. Why are you interested in attending the retreat (max 150 words):

T