Please use a separate form for each participant.

Name / Organisation
Job Title / Address
Tel/Fax
E-mail / Postcode

Please reserve one place at the event on (please select only one):

North Wales

26 May 2015 - Rhyl (Denbighshire)
27 May 2015 - Llanrwst (Conwy)
29 May 2015 - Caernarfon (Gwynedd)
4 June 2015 – Llangefni (Isle of Anglesey)
West Wales
5 June 2015 – Aberystwyth (Ceredigion)
9 June 2015 – Narberth (Pembrokeshire)
10 June 2015 – Carmarthen (Carmarthenshire) / South Wales
27 May 2015 – Gilfach Goch (Rhondda Cynon Taff)
28 May 2015 – Blackwood (Caerphilly)
28 May 2015 – Swansea (Swansea)
29 May 2015 – Merthyr Tydfil (Merthyr Tydfil)
2 June 2015 – Neath (Neath Port Talbot)
3 June 2015 – Ebbw Vale (Blaenau Gwent)
4 June 2015 – Bridgend (Bridgend)
4 June 2015 – Cwmbran (Torfaen)
Advice sessions
These will be available in the afternoon and will be allocated on a first come first served basis. Please indicate if you wish to sign up for an advice session:

YesNo
Translation
Please indicate in which language you will be contributing at this event:

EnglishWelsh / Specific requirements
Please let us know if you have any particular training/access needs:
Data Protection Act 1998

The above details are held and processed by WCVA on computer. The forms are kept manually. The information is used by WCVA for theadministration of the seminar and for the monitoring and promotion of the voluntary sector in Wales.

** Details are disclosed to seminar leaders; contact details are available for other seminar attendees.
The data may be considered as sensitive personal data where the organisation is involved with matters relating to race, ethnic origins, politics, religions or similar beliefs, physical, mental health or sexual life.
WCVA will also use your data to contact you with information about e-mail updates, events and other marketing. If you do not wish to receive further information from WCVA please tick this box.

Registered charity number 218093 / Company Limited by Guarantee 425299 / Registered in Wales

Please return to

no later than one week prior to the event

in which you wish to participate.

For enquiries please use the above

email or contact the Helpdesk on

0800 2888 329

Registered charity number 218093 / Company Limited by Guarantee 425299 / Registered in Wales