Waltham Forest Social Services

‘Working Together to Safeguard Children From Black and Minority Ethnicities’

Waltham Forest Conference

The Score

100 Oliver Road

Leyton

E10 5JY

Saturday 11^th March 2006
10.00am – 4:30pm

CONFERENCE BOOKING FORM

Fee: £65.00 per delegate (practitioners)

Free for community members and community organisations

(Please fill in details below)

I would like to book a place (1 booking form per delegate)

Name: ....................................................................................

Organisation:..........................................................................

Address..................................................................................

Tel No......................................... Fax....................................

Email......................................................................................

Lunch will be provided. Please tick one dietary requirement:

Mixed inc. meat Vegetarian

Please advise us if you have any additional needs.

Terms and conditions: (Payment is required in advance with your booking)

Free place for member of community or community organisation

One place £65.00 per delegate

I enclose a cheque / postal order payable to: Waltham Forest Social Services

Please invoice my organisation for £ …… Address if different from above: …………… …………………………………………………………………………………………….……….

A receipt will be dispatched with the confirmation of your booking details.

Cancellations: Must be made in writing and will be subjected to an administration charge of 50% if cancelled up to 2 weeks before the date of the conference. We regret that no refunds will be made after this date, but we are happy to accept a substitute delegate.

Return your booking form with payment to:

Elvina Quaison, Advocacy Officer AFRUCA – Africans Unite Against Child Abuse. Unit 4s Leroy House, 436 Essex Road. London N1 3QP. Tel: +44(0)20 7704 2261. Fax: +44(0)20 7704 2266
Email: walthamforest@afruca.org. www.afruca.org