JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Pitsmoor Midwinter Windows 2024
Please use this form to sign up to create a window for Pitsmoor Midwinter Windows
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name
*
Your answer
Full address of the window
*
Your answer
Postcode
*
Your answer
Mobile phone number
*
Your answer
Do you have a prefered date? If you don't have a prefered date, you'll be allocated one.
*
Yes
No
If you answered "Yes", what is your prefered date? In the event two people choose the same date, priority will be given to the first person to request it.
MM
/
DD
/
YYYY
You will need to submit a photo of your completed window, on the evening of your date, so that it can be published on social media
. You will be given details of how to submit your photo. Please confirm that you will do this.
*
I agree to submit a photo of my window on the evening of my date
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms