Daisley Family Registration Form

1
Name
First Name
Last Name
2
Your Contact EmailEnter a valid email address
example@example.com
3
CountryType the country that you currently live in
4
Your contact telephone/mobile numberAlso enter your country regional code
Country Code
Area Code
Phone Number
5
Please, can you tell us how many adults will be attending the family reunion?Total number of adults who will be going. Please note if you are unable to attend please select "0" from the dropdown list below.
0
1
2
3
4
5
6
7
8
9
10
more than 10
6
Please, can you tell us now how many children (aged 17 and under) will be attending the reunion with you?Total number of children attending
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
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20
more than 20
7
Do you require assistance finding hotel accommodation during your stay?
YESNO
8
No. of rooms required?
0
1
2
3
4
5
6
7
8
9
10
More than 10
9
Do you prefer to arrange your own accommodation?
YESNO
10
List the names of all the family members attending the reunion?Please list the full name of each person attending on a separate line.
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Large
Normal
Small
Ok
Ok
11
Your consent agreement with us* This field is required.
Please tick here if you agree to signing up to the Daisley Family 2022 Reunion Members Area. You may also receive news about up and coming event which we feel may be of interest to you. We will process your data in accordance with our Privacy Policies. You may withdraw this consent at any time by emailing us at support@daisleyfamilylineage.com. We never sell or distribute your data.
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