2023 Re-Gathering Booking Form

First Adult's Name (Forename & Surname)

Second Adult's Name (Forename & Surname)

Please give names and ages of any children attending (no charge for children)

Your preferred email address (required)

Your preferred phone number (required)

What is your current role in Teams
Click here for optionsTeams MemberChaplain / Spiritual CounsellorTeams Responsible CoupleSector Couple / Contact CoupleOther Responsibility

Your Team (this is a drop down box and has options at the top for those not currently in Teams or from Ireland)
Click here for optionsNot currently in a Team,,Teams member from Irish Region,,Ampleforth 3, Teesside and Yorkshire, Northern RegionAston le Walls 1, South Midlands, Central RegionAston le Walls 2, South Midlands, Central RegionBackworth, North East, Northern RegionBanbury 1, South Midlands, Central RegionBanbury 2, South Midlands, Central RegionBanbury 3, South Midlands, Central RegionBanstead & Reigate, Surrey North, Southern RegionBanstead 1, Surrey North, Southern RegionBarnet 1, North Thames, Central RegionBarnet 5, North Thames, Central RegionBarnet 6, North Thames, Central RegionBeckenham 1, London Southeast, Southern RegionBedford 1, South Midlands, Central RegionBedford 2, South Midlands, Central RegionBedford 3, South Midlands, Central RegionBedford 4, South Midlands, Central RegionBishops Stortford 1, North Thames, Central RegionBishops Stortford 2, North Thames, Central RegionChelmsford 1, North Thames, Central RegionCheltenham 1, West, Central RegionCheltenham 2, West, Central RegionCheltenham 3, West, Central RegionChichester 1, Solent, Southern RegionChilterns 1, Thames Valley, Southern RegionCockfosters 4, North Thames, Central RegionCrawley, Surrey North, Southern RegionDurham 1, North East, Northern RegionDurham 2, North East, Northern RegionEaling 1, London West, Central RegionEaling 12, London West, Central RegionEaling 14, London West, Central RegionEaling 15, London West, Central RegionEaling 16, London West, Central RegionEaling 3, London West, Central RegionEaling 4.6, London West, Central RegionEaling 5, London West, Central RegionEaling 6, London West, Central RegionEaling 9, London West, Central RegionEdinburgh, Unattached, Northern RegionEpsom 1, Surrey North, Southern RegionEpsom 2, Surrey North, Southern RegionEpsom 3, Surrey North, Southern RegionEpsom 4, Surrey North, Southern RegionEsher, Surrey North, Southern RegionFareham 1, Solent, Southern RegionFareham 2, Solent, Southern RegionFormby, North West, Northern RegionGodalming 1, Surrey South & Sussex, Southern RegionGreenford 1, London West, Central RegionGreenwich 1, London Southeast, Southern RegionGuildford 1, Surrey South & Sussex, Southern RegionGuildford 3, Surrey South & Sussex, Southern RegionGuildford 4, Surrey South & Sussex, Southern RegionGuildford 5, Surrey South & Sussex, Southern RegionGuildford 6, Surrey South & Sussex, Southern RegionGuildford 7, Surrey South & Sussex, Southern RegionGuildford 8, Surrey South & Sussex, Southern RegionHastings, Surrey South & Sussex, Southern RegionHorsham 1, Surrey South & Sussex, Southern RegionKidlington, South Midlands, Central RegionKingston 1, London Southwest, Southern RegionMadonna Della Strada, South Midlands, Central RegionMerton 1, London Southwest, Southern RegionMerton 4, London Southwest, Southern RegionMerton 6, London Southwest, Southern RegionMiddlesbrough 1, Teesside and Yorkshire, Northern RegionNewcastle 3, North East, Northern RegionNorbury 1, London Southeast, Southern RegionNorthampton 1, South Midlands, Central RegionNorthampton St Anne, South Midlands, Central RegionNorthampton St Thomas, South Midlands, Central RegionOur Lady of Love, North Thames, Central RegionPoole 1, Wessex, Southern RegionPoole 2, Wessex, Southern RegionPortchester 1, Solent, Southern RegionPurley 1, London Southeast, Southern RegionReading 2, Thames Valley, Southern RegionSacred Heart 1, London Southwest, Southern RegionSacred Heart 2, London Southwest, Southern RegionSouthampton 1, Solent, Southern RegionSouthbourne 1, Wessex, Southern RegionStamford Hill 1, North Thames, Central RegionStamford Hill 2, North Thames, Central RegionStanley 2, North East, Northern RegionStokesley, Teesside and Yorkshire, Northern RegionSuffolk 1, North Thames, Central RegionThames Ditton 1, Surrey North, Southern RegionThames Ditton 2, Surrey North, Southern RegionWanstead, North Thames, Central RegionWarrington 1, North West, Northern RegionWarrington 3, North West, Northern RegionWestbourne 1, Wessex, Southern RegionWetherby 2, Teesside and Yorkshire, Northern RegionWetherby 3, Teesside and Yorkshire, Northern RegionWillesden 1, London West, Central RegionWillesden 2, London West, Central RegionWillesden 3, London West, Central RegionWimbledon 4, London Southwest, Southern RegionWimbledon 5, London Southwest, Southern RegionWimbledon 9, London Southwest, Southern RegionWimborne 1, Wessex, Southern RegionWimborne 3, Wessex, Southern RegionWirral 1, North West, Northern RegionWorcester Park 1, London Southwest, Southern RegionWorcester Park 2, Surrey North, Southern Region

Have you been to a Regional Gathering before (drop down box)
Click here for optionsThis is my/our first timeThis is my/our second timeI/we have attended multiple Gatherings

Would you be happy to lead a small group session?
Yes, be a leaderNot this time

Please tell us of any dietary needs and who it is for.

If you are willing to join the choir or play an instrument, please enter in the box person(s) name, plus choir or instrument

Do you have limited mobility and require an accessible room?
YesNo

Do you need assistance with transport from Alfreton or Derby Station? If so, please give details in the 'Anything Else' box below.
YesNo

If you expect to arrive after dinner at 6:30pm, would you like sandwiches on arrival?
YesNo

Anything else you would like to tell us?

Please indicate your method of contribution (we prefer payment by Bank Transfer, but are happy to accept the other methods of payment). The cost is £190 per person. Chaplains / Spiritual Counsellors will not be charged but are requested to make a donation if they are able.
Bank TransferPayPalChequeI need help paying

Payment Details: When you have completed the form and have pressed "Send" you will receive a response from the website giving details of your chosen payment method. If you do not get an email, please check your junk folder and if you haven't received an email then contact us: webeditors@teamsgb.org.uk.

Data Protection: Your personal information will be used for the administration of the Teams Gatherings. It will not be shared with any other organisation.

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