First Name (required)
Last Name (required)
Address 1 (required)
Telephone number (required)
Please list below the names and ages (if under 18 years) of the other family members attending (required)
Which family member(s) is living with Usher Syndrome?
Does anybody in your family have any accessibility or communication needs? (required)
Do you or your family have any dietary requirements? (required)
Will you be bringing a Guide Dog? (required)
To help us tailor the event as closely as possible to the needs of the families attending, are there any topics that you hope will be covered during the parent/carers event?
Are you interested in booking accommodation either on the Friday or Saturday night? (we are in discussion with some local hotels who may be able to offer preferential rates)
If staying overnight on Saturday would you be interested in joining up with other families on the Sunday?
+44 (0)1280 821334
+44 (0)845 123 2354
Retina UK, Wharf House, Stratford Road, Buckingham, MK18 1TD
Registered Charity No. 1153851
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