Name
*
First
Last
Student Number
*
Campus
*
Canterbury
Epsom
Farnham
Rochester
University Email
*
Secondary Email
*
As the event occurs outside of term-time, we require a secondary email to contact you with any changes to the event.
Phone
*
We will only use your phone number to contact you before and during Pride, and in case of emergency.
Accessibility Needs
Please include any details about your access needs so that we can provide appropriate support