Event Information

Organisation Name *

Venue Address *

Post Code *

Contact Telephone Number

Name of Event *

Event Description *

Start Date *

Start Time *

End Date *

End Time *

Who can we contact if we require further information? *

Declaration

I have read the information provided above and agree for my details to be made available to the public on the following directories:

• Active Sunderland
• Families Services Directory
• Letsgosunderland
• Starting Point