Session

Organisation / Company

First Name

Surname

Email

Phone

Organisation Website

Preferred method of contact

Estimated number of attendees (30 attendees maximum)

Point of contact for session

Is there a second date preference you have for the session?

Would you like to book multiple sessions? If so, please list your preferred dates.

Session location, address, and parking information (please note there may be additional costs associated with travel/and or accommodation)

Do you need support in organising technology? (Please refer to our FAQ page for room and technology requirements)

Yes

No

Are there any accessibility requirements we should be made aware of for attendees?

A support person to help recap anything or for when someone is asking a question, to have someone relay

Audio description

Auslan interpreter

Captions

Communication to be clear and short sentences where possible

For speaker to limit movements where possible

Hearing loop

Lighting, dim, bright

Need to see lips clearly

Placement of supplies on table, i.e. an individual set up for easy reach

Plain text format

Proximity to speaker

Sound, limit buzzing, pen clicking, any sensory needs specify

Any comments you wish to share

So we can improve our future service offerings, what is your reason for wanting to book Inclusion Training?

Customer Data Usage Consent: Data entered in this form will be stored by Purple Orange and may be used for future newsletters. Your information will not be distributed to third parties.

Yes

No

Accessible Events Training Session - In-Person 3-hour

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