Events

Registration Form

The Next Generation: Supporting Clinical Placements in General Practice

Friday, 22 August 2008 - Friday, 22 August 2008



Personal Details
First Name:
Surname:
Email Address
Contact Number

Organisation Details
Organisation Type:
Other Requirements
Dietary Requirements - Please select if required:
  Diabetic   Gluten Free   Lactose Intolerant
  Nut Allergy   Vegetarian   Other
If Other please specify:
 
Assistance - Do you require any assistance with mobility or with the use of visual, auditory or other?
Yes I do
No thanks
If Yes please specify:
 
Parking - Do you require parking at Arrow?
Yes I do
No thanks
If Yes, please provide car registration number:  
General

Comment

Additional Attachment Downloads



               
Registrations close 21 Aug 2008 8:00:00 AM

Privacy Statement:
Information you provide to us in the registration form will be entered into our database for the purpose of processing registrations. It may also be used for the purpose of GPV evaluation of annual division attendance at GPV events.

GPV may take some group photos as this event for publicity and promotional purposes. Should this cause concern please sign the photo decline form at the registration desk.

Last Updates: Thursday, 14 August 2008