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Counselling Skills Training for Professionals in Birmingham
Learn to Better Support Families Impacted by Hearing Loss

Registration Form

1.I would like to attend the training on:(Required.)
2.Title and Full Name:(Required.)
3.Job Title:(Required.)
4.Email:(Required.)
5.Telephone:(Required.)
6.Team / Institution / Organisation:(Required.)
7.My key learning outcomes from the event would be?: (Required.)
8.I would like hotel accommodation for:(Required.)
9.I would like dinner on:(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.

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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.)
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.)
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