Registration Form

To complete registation for this workshop, please fill out the fields below.

General Information

Session Type:
Title:
First Name:
Last Name:
Gender:
Date of Birth:
Company Name:
Position/Title:
Business Address:
Business Telephone:
Business Fax:
How did you hear about us (select all that apply):

Emergency Contact Information

Home Address:
Home Telephone:
Mobile:
Address where you are staying:

(Non-resident Participants Only)

Your dietary preference (select all that apply):
Are you diebetic:
Any known food allergies:

Participant Profile

Educational History & Professional Qualifications:
Educational Achievements:
How do you plan to use the knowledge gained from completing this training programme?
What are your expectations of this training programme?

Method of Payment

How will you pay:

To complete your registration for the workshop, you will need to ensure that your fees are paid prior to the workshop. Cancellations or deferrals must be submitted in writing at least two weeks before the date of the workshop to receive a refund. Cancellations or deferrals submitted after the start of the programme are subject to full payment.

Data Protection Statement

 Your personal information will be treated as private and confidential. We will use your information solely for the purposes of administering our workshops.