1. Spark in the Park - Booking Form

Please complete this form to book a place at the "Spark in the Park" Event to be held in Paradise Park, Islington on Saturday 2nd October 2010
Questions marked with a * are mandatory.

* 1. Name of Organisation

* 2. Name

* 3. Email Address

* 4. Telephone Number

* 5. Type of Organisation

* 6. Additional requirements

* 7. You may bring up to 10 beneficiaries. If you would like to bring more than ten, please contact Geoff Robinson (geoffr@lvstc.org.uk).

* 8. If you know the names of the beneficiaries, please enter them here