Mercer Free School: Activity Request Form

This form is to request a new activity which you want to participate in but not yet listed on the activity page. Please fill in and submit it.

This section is for the school to contact you.
Your name:
Your e-mail:
Mail list: Would you like to be on our mail list? Yes No Already

This section is about the activity you are requesting.
Activity title:
Activity type: Lecture, Workshop, Group activity, On-line,
  Other:
Activity description: