SleepoverApplicationForm

Please use this form to apply to attend the Sleepover on Sunday 28th - Monday 29th August 2016 - or apply by post to;- Father Nature (Sleepover), c/o Impact Hub Brixton, Pop Brixton, 49 Brixton Station Rd, London SW9 8PQ (* indicates information required) either press 'Submit' or print out a copy and post (or deliver) to the address above. **Please fill out all fields, otherwise we will not be able to process your application. We will get in touch with you to confirm your place on the sleepover by the 21st* August*

(As this is a family event no single adults (over 16 years) will be eligible, and all under 16s must be accompanied by an adult)
only 1 application per family please

* Indicates required field

Name *

First

Last

Email *

Address (Number, Street, Post code) *

Lambeth or Southwark Resident? *

Yes No

Telephone *

Mobile Telephone *

How many in your party will require vegetarian dinner & breakfast? *

Number of Children (aged 16 or younger) *

Age of Children *

Number of Adults coming (Note: 3 Maximum) *

Are you on Low income (Adult 1) *

If 'Yes' which of the following do you require? *

2 berth Tent 3 berth Tent 4 berth Tent 5 berth Tent

Additionally, If 'Yes' How many Sleeping mats & Sleeping bags do you need? *

Have you been on a Sleepover at Myatt’s before? *

I would like to hear about future Father Nature events, please add me to the mailing list. *

I would like to hear about future Myatt's Fields Park events, please add me to the mailing list... *

Submit