Name* First Last Guest name First Last Phone*Email Special accessibility or mobility requirements So we can ensure your comfort, please provide details of any accessibility or mobility requirements, e.g. wheelchair accessDietary requirements* Please provide details of any special dietary requirementsHow did you hear about this event?* Magazine advert Kingston Wing website Other website Social media, e.g. facebook Word of mouth Stay in touch with the Kingston Wing* Yes please No thank you Yes, but only about future events Yes, but only about new treatments or services May we keep in touch with you about future Kingston Wing events, and new treatments or services?
