Event Booking Form

Event Booking Form

Thank you for interest in having LiveWell Dorset attend your event. In order to us to plan our resources and fully contribute please could you provide some details about the event.
Organisation/ Service Name*
Contact Name*

First NameLast Name
Email*
example@example.com
Mobile phone Number*
Alternate Contact Name (leave blank if no alternate)

First NameLast Name
Alternate Contact Email
example@example.com
Alternative mobile phone number
How did you hear about us?*

Event Details
Who are the target audience? *
(e.g. community sector / employees / volunteers / type of roles)
Please describe the event/add the agenda
What would you like LiveWell Dorset to do?
Is this event virtual or face-to-face?*

VirtualFace-to-face
Has the event been run before?
is this a one off or regular event?
Number of anticipated participants*
How many people are expected will attend?
How has this event been advertised?
Direct marketing, social media, flyers?
What support would like LiveWell Dorset to provide?*
Why is the specific expectation requested?
Date/s of event*
Start time*
Finish time*

Venue Details
Venue Address

Street Address

Street Address Line 2

TownCounty

Post Code
Who should the LiveWell staff call in the event of any issues? *
Phone Number*
Parking arrangements for staff:
Is reserved parking provided?
Room Details
if applicable
Will the following equipment be available?

Table & Chairs (2)Electricity supply (plug)WifiGazebo (if outdoors / required)Projector/ Display Screen (if presentation required)Other
Are there any health and safety issues we should be aware of?
Should be Empty:

Event Details