Registration for CEPEG Conference, 11th March 2017.

"Conductive Education is our Super Power"

CEPEG, 12th Annual Conference
Saturday, 11th March 2017
at
The Curve Theatre
Rutland Street
Leicester, LE1 1SB

Friday, 10th March 2017
The Cellar downstairs at the Exchange Bar
Leicester, LE1 1RD
7pm – 9pm

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* 1. What is your first name? (to be shown on your name badge)

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* 2. What is your surname? (to be shown on your name badge)

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* 3. What is your job title? (to be shown on your name badge)

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* 4. Where do you work? (to be shown on your name badge)

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* 5. What is your email address?

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* 6. Are you presenting at this event?

Yes

If yes, is there any equipment that you will need to be provided? PLEASE NOTE: YOU WILL NEED TO PROVIDE YOUR OWN LAPTOP.

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* 7. Will you be attending the social event on Friday evening, 10th March?

Yes

Unsure at this time

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* 8. Do you have any dietary restrictions?

Yes

If yes, please specify your requirements.

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* 9. Ticket type? Select all that apply to you.

Individual

More than 5 delegates

PCA Member

CE Student

Parents and Carers

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* 1. What is your first name? (to be shown on your name badge)

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* 2. What is your surname? (to be shown on your name badge)

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* 3. What is your job title? (to be shown on your name badge)

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* 4. Where do you work? (to be shown on your name badge)

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* 5. What is your email address?

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* 6. Are you presenting at this event?

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* 7. Will you be attending the social event on Friday evening, 10th March?

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* 8. Do you have any dietary restrictions?

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* 9. Ticket type? Select all that apply to you.

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* 10. Anything else we need to know about?