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Cuckoo Conversations
Before filling the form, please do make sure that, the session of speaker you are opting for is an upcoming event, and not a past event. Please do check
facebook.com/cuckoochildren
, to know the dates.
* Indicates required question
Email
*
Your email
Name
*
Your answer
Your Age Group. This is required to inform the speakers, about the average age group of participants.
*
Below 20
20 - 25
25 - 30
30 - 40
40 - 50
Above 50
Other:
Whatsapp Number
Your answer
Instagram ID (For tagging)
Your answer
Your permanent residing address, if you wish to receive postcards
Your answer
Which place would you be attending the conversation from? Ex. Chennai, London,Germany
Your answer
How did you get to know about 'Cuckoo Conversations'?
*
Whatsapp
Facebook
Instagram
Word of mouth
Other:
From, whom did you get to know about 'Cuckoo Conversations'? Please specify name of the person.
*
Your answer
Name of organisation / institution / company you are currently associated with
Your answer
In what ways do you think,your organisation can support the activities of 'Cuckoo Forest School'.
*
Your answer
Have you been to 'Cuckoo Forest School'?
*
Yes
No
Suggestions for improvement of this form,if any
Your answer
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