Out of Context - Booking Form

Name

 

 

 

Address

 

 

 

 

 

Phone

 

 

Email

 

 

 

Currently paid up Warlords Member

YES / NO

 

Dietary Requirements

 

Emergency Contact

 

Role Preferred

(Please Circle)

 

 

Command / Scientific / Engineering / Medical / Security / Media

I have read and understood the Code of conduct and signed the Disclaimer form

Signed Date

 

 

 

Print

If you have any query relating to the game, please feel free to contact Tim Atkinson the Warlords LRP Coordinator on 020 8402 8738 or by email tim@spacepatrol.org.uk. Please return the following form (and membership form if not currently a Warlord) to Tim Atkinson, 10 Invicta Close, Chislehurst, Kent , BR7 6SJ . Please make cheques payable to Tim Atkinson