CUTT 3ygb 2013 booking form 5th

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CUTT 3ygb 2013 booking form 5th - 7th July 2013

Your details

First Name *

Surname *

email address *

Mobile number

Address *

Dietary requirements *

Do you have any of the following dietary requirements?

Vegetarian

Vegan

Do you have any food allergies or intolerances? Or is there anything you really don't want to eat. *

We really need to know if you have a food allergy/intolerance as a medical thing where we can't feed you traces of food as distinct from if there's food you just can't/won't eat for whatever reason.

Yes, I have allergies/intolerances.

No, but there is food I won't eat

Please let us know as much as you can about your dietary requirements. *

Be sure to state if it is an actual allergy or intolerance or a dislike. We need to know if we have to avoid putting a trace of something in your dinner that might make you very ill.

Emergency details

By giving us your medical information, you agree that it will be shared with the organising team, appointed event first aiders and the appointed safety officers for the event if necessary. If there is anything you wish to stay as private as possible, please make this very clear and dp, as the head first aider will be the only person who will see it.

Please inform us of any medical conditions that we should be aware of.

Allergies, injuries, etc.

Emergency contact name *

Their relationship to you. *

Emergency contact telephone number(s) *

Please make sure we can get hold of them if necessary!

Sleeping *

I will be sleeping...

indoors on site

in an IC tent (please tell us if you plan to bring one. If you want to sleep in a tent and aren't bringing one, you'll have to ask somebody who is)

off site

Will you be PCing or Crewing? *

PCing (GBP30)

Crewing (GBP26)

Payment *

How will you be paying?

Preferred: BACS transfer to Account: 43247585, Sort: 07 44 56, Name Mr D Proctor. Please put your real full name name down as the payment reference

Cheque made out to "Cambridge University Treasure Trap" or cash at the interactive (please also email us separately to confirm that this has occured, letting us know who you gave the cheque/cash to)

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