Event registration
Welcome to registration for the Diabetes UK Laser tag event in Birmingham for 11-19yrs. Please fill in the following form to register for the event.
1. First Name
*
2. Last Name
*
3. Email Address
*
4. Phone number
*
5. Address line 1
*
6. Address line 2
7. City
*
8. County
9. Postcode
*
10. Are you a
*
Person living with diabetes over the age of 16 who would like to attend the event themselves
Parent or carer of a young person living with diabetes who you'd like to attend event
