Booking form Write a Play in a Week

Name(required)

Email(required)

Mobile phone number(required)

Emergency contact number(required)

Please, choose one I would prefer to stay in a shared room (subject to availability)

I would prefer to stay in my own room (subject to availability)

Any specific dietary needs or intolerances(required)

Any medical or other conditions your hosts should be made aware of (this will beheld in confidence and deleted immediately after the course)(required)

Choose one(required) I will be paying via bank transfer

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Writing Plays with Kim Komljanec

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