Language
English (UK)
PERSONAL INFORMATION
The privacy of your personal information is important to us. The information you provide through this form will be used solely for the purpose of processing your registration to attend Agile Coach Camp ZA. By submitting this form, you grant permission for the processing of your information by our administrative team.
Name
*
First Name
Surname
Email
*
example@example.com
Contact Number
Landline / Cellphone number
STUFF THE VENUE NEEDS TO KNOW ABOUT YOU
We would like to enable as many people as possible to join. As space is limited, we kindly request that you consider shared accommodation when making your booking. It allows more people to attend AND it works out cheaper!
Select your accommodation type
*
Shared accommodation (recommended)
Single accommodation (additional charge of R1440 applies)
No accommodation required
Number of Shared Accommodation tickets required (R2500 each)
*
There are 4 cottages with 4 occupants each. All other cottages house 2 people.
Number of Single Accommodation tickets required (R3940 each)
*
Availability is limited
Do you have any dietary requirements?
*
Additional charges may apply - to be invoiced separately upon confirmation of costs by the venue
STUFF YOUR FELLOW CAMP ATTENDEES WOULD LIKE TO KNOW ABOUT YOU
Responses may be published (anonymously) on the agilcecoachcamp.co.za website to give other attendees an idea of topics that could be expected.
What is your experience coaching teams toward being Agile?
*
What do you plan to learn / explore at this coach camp?
*
How do you plan to contribute?
*
Comments / Additional Information
Consent
*
By submitting the completed form I grant permission for my personal data to be processed.
Please verify that you are human
*
SUBMIT
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