CNE Conference 2020 Registration English

CNE International Cystinosis Conference 2020 Registration Form

Cead Mile Failte - welcome to CNE 2020! We are delighted you will be travelling to Dublin in July to join us for this great event. Please register using this form.

If you come as a family with children, please register one person and fill in the text boxes for further members of your family when asked.

Registration fee
€ 50.00 per person (single guest)
€ 100.00 for one family (parents and children)

Please note that the registration fee covers the cost of all meals at the conference (lunch, coffee breaks and dinner on Friday and Saturday) and your delegate pack. Breakfast is included in your room rate.

Question Title

* 1. Please tell us who will attend the conference

First Name

Family Name

Male or Female

Email address

Address

Telephone

Country

I do/do not have cystinosis

Number of people attending (including myself)

Question Title

* 2. Please give us the details of anyone travelling with you

Please list adults (25+ years): name, sex, age, with cystinosis or without?

Please list young adults (18-25 years) travelling: name, sex, age, with cystinosis or without? Young adult programme will be organised.

Please list adolescents (13-17 years) travelling: name, sex, age, with cystinosis or without? Adolescent programme will be organised.

Please list children (up to 12 years) travelling: name, sex, age, with cystinosis or without? Daytime childcare will be available throughout the conference.

Do you require childcare? If so please give name(s) and age(s)

Please let us know any dietary requirements

Question Title

* 3. The conference language is English. To ensure we can have as many people as possible attending and gaining value from the event, we will have simultaneous translation for other languages. The other languages provided will depend on the needs of people attending. To determine this, please choose what language fits best for you.

I know enough English

French

German

Spanish

Italian

Turkish

Other (please specify)

Question Title

* 4. Please let us know your arrival and departure dates (if known)

Arrival Date dd/mm/yyyy

Departure Date dd/mm/yyyy

Question Title

* 5. The conference hotel can be booked at a preferred rate through the following link. http://cystinosis-europe.eu/conference/family-accommodation/. If you are booking an alternative accommodation, please give us the details here

Question Title

* 6. At the conference we will be using photography and videography for social media and other promotional uses. Please let us know if you are happy for us to use your/ your family's images. We also like to help our families connect after the conference. Please let us know if you are happy for us to share your name and contact details with others.

Yes, you may use my/our images

No, you may not use my/our images

Yes, please share my contact details

No, please do not share my contact details

Thank you for completing the registration form. If you have any questions between now and your arrival in Dublin, please contact Denise Dunne by email on denise.dunne@cystinosis-europe.eu.