Health and Safety Essentials

Multiple delegate discount: *

I am the first person from my practice to register

Other people have already registered from my practice

Your Details

Name of practice: *

First name: *

Last name: *

Job title:

Name of branch if applicable:

How did you hear about this event:

Your address

Address line 1: *

Address line 2:

Town/city: *

County:

Postcode: *

Contact details*

Phone number:

E-mail Address: *

Confirm e-mail address: *

May we provide your contact details to the course presenters:

Yes

I would like to register more attendees from same practice

Delegate 2

First name:

Last name:

Job title:

Name of branch if different to first delegate:

E-mail Address:

Delegate 3

First name:

Last name:

Job title:

Name of branch if different to first delegate:

E-mail Address:

Delegate 4

First name:

Last name:

Job title:

Name of branch if different to first delegate:

E-mail Address:

Delegate 5

First name:

Last name:

Job title:

Name of branch if different to first delegate:

E-mail Address:

Special requirements

Please include details of any special requirements relating to diet, mobility, hearing or sight. You can assume that vegetarians will be catered for.

Please tick here if you would like us to contact you to discuss these.:

Yes

Cancellations

View Cancellation Policy

This booking may only be cancelled in writing no later than 4 weeks before the seminar. A cancellation fee of £25 will be charged. If the booking is cancelled thereafter the full amount will be payable unless another delegate is found.

If SPVS cancel the event, then you will be eligible for a full refund or transfer of booking to a different event, whichever you prefer. However, please note, in the event of the following, refunds will not be provided.

a) In circumstances arising through or as a result of orders or restrictions imposed by the local authorities, the police, fire or ambulance service

b) Cancellation, Abandonment or Postponement directly or indirectly arising from any communicable disease which leads to:

i) The imposition of quarantine or restriction in movement of people or animals by any national or international body or agency;

ii) Any travel advisory or warning being issued by a national or international body or agency; And in respect of i) or ii) above any fear or threat thereof (whether actual or perceived)

c) Cancellation, Abandonment of Postponement directly or indirectly caused by, resulting from, or in any connection with any action taken in controlling, preventing, suppressing or in any way relating to:

i) Influenza A (HN51) (also known as ‘avian flu’ or ‘bird flu’)

ii) Any strain, virus, complex or syndrome that is related to influenza A (HN51); And in respect of i) or ii) above any fear or threat thereof (whether actual or perceived)

Tick here to confirm you have read and accepted these terms: *

Yes

Discount for SPVS or VPMA members

Do you have someone in your practice who is a member of SPVS or VPMA:

Yes, member of SPVS

Yes, member of VPMA

Yes, member of both

If so, what is their name?:

Data protection

Date collected here on behalf of SPVS and VPMA will not be passed on to any third party or used in any way apart from for these events. However, we would like to send you advance information about future VPMA or SPVS events.

Please tick here if you DO NOT wish to be contacted by us in the future:

Do not contact you

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Health and Safety Essentials