Skip to content
Counselling Skills for Professionals who Support Families Impacted by Hearing Loss
Registration Form
*
1.
I would like to attend the training on:
(Required.)
Wednesday 23rd October 2025 - Learn (6pm on line)
Friday 28th - Saturday 29th November - Practice (in person Stirling)
Thursday 8th or Friday 9th December 2025 - Master (6pm on line)
*
2.
Title and Full Name:
(Required.)
*
3.
Email:
(Required.)
*
4.
Telephone:
(Required.)
*
5.
Position / Job Title:
(Required.)
Teacher of the Deaf
Educational Audiologist
Speech & Language Therapist
Audiologist
Surgeon / ENT Consultant
Psychologist / Counsellor
*
6.
Team / Institution / Organisation:
(Required.)
*
7.
My key learning outcomes from the event would be?:
(Required.)
*
8.
I would like hotel accommodation for:
(Required.)
Friday 28th November 2025
Not required
*
9.
I would like dinner on:
(Required.)
Friday 28th November 2025
Not required
*
10.
Please indicate if you have any special dietary requirements:
(Required.)
*
11.
Do you have any accessibility requirements? If so, please specify below:
(Required.)
*
12.
*Photo Consent
We would love to use your photographs, videos and articles. If you are happy for us to do so please provide consent below. You can withdraw it at any time.
You can withdraw your consent at anytime by re-visiting this page.
You can view our full privacy policy here:
https://www.surveymonkey.co.uk/r/J7JTY3P
If you have any questions or would like your data deleted, please contact: conferences@medel.co.uk
(Required.)
Yes - I give consent. Which I may withdraw at any time.
No - I do not give my consent.
*
13.
*Privacy Notice
The information we capture in this form will only be used in conjunction with the event or open day that you are signing up for. Once that purpose is complete, we will delete your data within 6 months.
You can view our full privacy policy here: https://www.medel.com/en-gb/privacy-policy
If you have any questions or would like your data deleted, please contact:
conferences@medel.co.uk
(Required.)
I understand the Privacy Notice
14.
Comments