Connecting in 2024: ASNA Family respite weekend registration

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Please use this form to register for the ASNA family weekend taking place on the 26 - 29th April 2024 at the Hay's Wood Retreat, Setch Road, Blackborough End, Kings Lynn, Norfolk, England PE32 1SL. Please complete one form per family.

Email *

Date *

YYYY

First Name (Lead person) *

Surname *

Names of ALL attending in your group *

Telephone number (mobile) *

Postal Address *

Accomodation: Please indicate the cabin type you would like to reserve. *

Please indicate the number of cabins you would like to reserved. *

Please tell us the number of people in your group *

Please let us know which family you would like to share your cabin with if needed.
*

Ages if under 18 years old *

Please give the names of all those attending *

Please tell us about any disabilities *

Blind

Deaf

Severe learning disabilities

Autism

ADHD

Non of the above

Mobility Needs - Wheelchair user

Other:

Required

Please let us know what makes you happy (for under 18 years olds with disability only)

What is your estimated time of arrival (after 4pm)? *

4pm

5pm

6pm

7.00pm

Other:

Do you have any allergies. If so please state below. *

We would love you to take part in the weekend in some way. We will have celebration evening on Saturday evening . Please let us know what you would like to do.

Lead out in a game

Spoken word or poem presentation

Provide a craft activity

Providing a musical rendition during the program

Items for sale for ASNA auction or 20& Market (Please bring items for ASNA 20& Market)

Other:

Facilities: Outdoor walks and activities, outdoor sports area. Accomodation is self catering. ASNA will also be preparing lunch and evening meals. If you would like to join in the meal package for Friday evening, Saturday Lunch and evening, Sunday Lunch and Dinner please indicate below. Please note, there is an additional £25.00 per person for the meal package. breakfast is not included. *

I would like to go on the off sight trips

No I prefer to stay on campus

I will be preparing my own meals

I would like to join in the meals prepared by ASNA team for Friday evening - Sunday Evening

Other:

Required

Cost: £150 (£100 ASNA Members). £50 for children 4-18 yrs. Free to all children under 4 years old and children 0 -18 yrs with disabilities. Please make your payment by using one of the methods below. Please confirm the method you will be using. Use your name as reference for the bank transfer. Bank details - Name: ASNA Bank: Lloyds Bank Account Number: 03151450, Sort Code: 30 91 53. Please add another £25 / person if you will be taking the meal plan option. *

ASNA Bank Account transfer -

Cheque in the post to :ASNA Head Office,Alma park, Grantham,NG31 9SL

Credit Card payment

Other:

Required

Date *

YYYY

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