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Reading will use the information provided on this form only for the purpose you have specified. Information will be treated in accordance with the Data protection Act 1998.
* - required field
Your Details
Your name*
So that we can validate your entry.
Your email address*
So that we can contact you if we need to.
Service/Activity
Service/Activity
Title/Name*
The title/name of the service or activity.
Description
(shift+enter for a new line)
A short description of the service or activity.
Please keep it short but informative. You can always put any further information in the 'Any other information' field below.
Venue
Address
(shift+enter for a new line)
The service or activity venue address.
Partial addresses are fine.
Postcode
The service or activity venue postcode.
Full postcode please.
Website URL
(please include the http:// prefix.)
The website url of the service or activity if they have one.
Details
Date(s)/Time(s)/Opening Hours
When can people use the service or activity?
Membership is open to
Who is allowed to take part/join?
Age range
What is the age range of the target audience?
Cost
The cost of the service or activity (if there is one).
Booking info
Is there a booking facility? How are bookings taken?
Waiting list
Is there a waiting list?
Disabled Access
Unknown typelistUnknown typelist
(ctrl+click to select multiple values)
If applicable, select the relevant disabled access for this service or activity.
Referral method
Is a referral needed to use this service or activity? If so then how is a person referred?
Child Protection policy
Unknown typelistUnknown typelist
(ctrl+click to select multiple values)
If applicable, select the relevant child protection policy for this service or activity.
Contact
Name
(separate multiple values with a semi-colon ;)
The name of the person(s) who can be contacted about this service or activity.
You can enter multiple values here.
Address
(shift+enter for a new line)
The contact address (which may be different from the venue address).
Telephone
(separate multiple values with a semi-colon ;)
The telephone number(s) at which the service or activity contact can be reached.
You can enter multiple values here.
Email
(separate multiple values with a semi-colon ;)
The email address(s) at which the service or activity contact can be reached.
You can enter multiple values here.
Any Other Information
Any other information
(shift+enter for a new line)
Any other information which may be relevant to this service or activity and which has not already been covered in the description.
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