Please enable JavaScript in your browser to complete this form.Name *FirstLastAddress *Telephone *E-mail *Total number of adults in your party *Total number of children in your party *If a space becomes available and you can attend the event, with your permission we may like to use any photographic images captured during the weekend’s events. Images might be used on any future fundraising material, and on Kleefstrasyndrome.org or our social media pages. We will keep all images anonymous unless you specifically tell us you want identifiable information to be published. The images will not be used for any other purpose. The copyright of any material which is generated as a result of the images shall be assigned and shall be the property of Kleefstrasyndrome.org *Yes - I agreeNo - I do not agreeTerms & Conditions *I understand that my request is NOT confirmed until I recieve further information from the Kleefstrasyndrome.org team.CommentSubmit
