Setting Cornwall Wide Equality Objectives

Monday 7 December

Pavilion, Royal Cornwall Showground, Wadebridge, PL27 7JE

Registration and refreshments from 9.30am

Start: 10.00 am

Finish: 3.30pm

To book a place please complete and return this booking form to

In order for us to confirm catering arrangements, we would be grateful if you returned this form by Friday 27 November.

If you are unable to complete this form, please contact Clare Hall-Davies on 01872 324692 to reserve your place by phone.

Full Name*

Job Title *

Organisation*

Address

Tel No

Email

How would you prefer to receive joining instructions and any further information?

By e-mail By post

*This information will appear on the delegate list and your name badge. Please ensure you enter your details as you would like them to appear.

Requirements

If you have any specific requirements necessary for your attendance and full participation in the conference please let us know in the sections below.

Written Information

Any written information provided required for the day will be provided in at least font size 12. If you require your information in any other format please provide details below

Access and Assistance

If you have any requirements please let us know. For example this could include accessible parking, wheelchair access, a place for a personal assistant or facilities for an assistance dog.

Communication

If you require any assistance with communications such as a hearing loop or BSL / Language interpreter please provide details below.

Dietary Requirements

If you have any specific dietary requirements please provide details below.

Other Requirements

If you have any other requirements not noted above please provide details.

If we need to clarify any of your requirements we will contact you to discuss further.

Please return this completed form to:

Clare Hall-Davies at

Or by post to;

Clare Hall-Davies

Corporate Equality and Diversity Advisor

Cornwall Council

4th Floor West Wing

New County Hall

Treyew Road

Truro

TR1 3AY