Registration Form

Registration Form

Reserve your place on the ChangeMakers course
Name

First NameLast Name
E-mail*
Phone*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

City / Town

Postal Code
Organisation?
If any
Payment status

Full fee £36 payable before week 1Currently receiving benefits - freeCurrent MRCT volunteer - free
We will send a separate email with payment method in February
Anything else we should know about you?
eg access or other needs
I understand that I am expected to attend all / most weeks in order keep up to speed with the course.

I understand that I can opt out after week 1 if it's not my thing.
Should be Empty: