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Registration Form - WBMT Workshop

10th Workshop and 4th Nurses Workshop, Panama City, June 25-27, 2026

There is no fee to register for the events, but pre-registration is mandatory.
1.Please indicate if and how you will attend the WBMT Workshop:(Required.)
2.Please indicate if and how you will attend the WBMT NURSES Workshop:(Required.)
3.Title:(Required.)
4.Full name (Given name & Family name):(Required.)
5.Gender:(Required.)
6.Email ID:(Required.)
7.Mobile Number:
8.Institute / Organisation:(Required.)
9.City:(Required.)
10.State:(Required.)
11.Country of Residency:(Required.)
12.Professional Position/Role at you organisation:(Required.)
13.Are you a member of any of the following organisations?(Required.)
14.How did you learn about this Workshop?(Required.)
15.Kindly specify if you have any food allergies:
16.Kindly specify if you have any special needs:
By submitting this form, you acknowledge and agree that the information provided will be used by WBMT. We are committed to protecting your privacy and ensuring that your personal data is handled securely and responsibly.

Sincerely,

The WBMT Team