IADNAM Conference 2022
No Frontiers- People and Technology, Sustainable Coalitions for Success

In person event
We look forward to welcoming you in Carlow
(The event will not be available on-line)

Thank you for your interest in attending IADNAM Conference 2022. Please fill out this survey to register. (It will take 3-4 mins)

IADNAM Conference 2022
MOUNT WOLSELEY HOTEL, SPA & GOLF RESORT
Tullow, Co. Carlow, R93 C9H0
Thursday 6th & Friday 7th October 2022

Conference and Dinner €250

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* Surname

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* First name

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* Professional Title

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* Area of Work
please select from list below

Acute

Midwifery

Mental Health

Children's

Older Persons

Intellectual Disability

Public Health Nursing

Policy

Education/ Practice Development

Corporate

Other (please specify)

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* Work Address

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* Contact Email Address
(please ensure correct email entered)
Confirmation of booking will be sent to this address

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* Phone Number

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* Will you be attending the President's Dinner at the conference?

Yes

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* Do you have any dietary restrictions? (Select all that apply.)

I do not have any dietary restrictions.

Vegetarian

Vegan

Lactose Intolerant

Gluten Free

No Shellfish

No Nuts

Other (please specify)

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* Conference Fee €250
Invoice to: (please select one of the following options)

Self paying (send invoice to email supplied above)

Approved funding from NMPDU

Other Source of Funding: invoice to (please specify)

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* If funding approved by NMPDU - please indicate the relevant NMPDU

NMPDU South West Cork and Kerry

NMPDU South East

NMPDU North East

NMPDU West/Midwest

NMPDU Dublin South, Kildare and Wicklow

NMPDU Midlands

NMPDU Dublin North

NMPDU North-East

NMPDU North West

IADNAM Conference 2022No Frontiers- People and Technology, Sustainable Coalitions for Success

Question Title

* Surname

Question Title

* First name

Question Title

* Professional Title

Question Title

* Area of Workplease select from list below

Question Title

* Work Address

Question Title

* Contact Email Address (please ensure correct email entered)Confirmation of booking will be sent to this address

Question Title

* Phone Number

Question Title

* Will you be attending the President's Dinner at the conference?

Question Title

* Do you have any dietary restrictions? (Select all that apply.)

Question Title

* Conference Fee €250Invoice to: (please select one of the following options)

Question Title

* If funding approved by NMPDU - please indicate the relevant NMPDU

IADNAM Conference 2022
No Frontiers- People and Technology, Sustainable Coalitions for Success

* Area of Work
please select from list below

* Contact Email Address
(please ensure correct email entered)
Confirmation of booking will be sent to this address

* Conference Fee €250
Invoice to: (please select one of the following options)