Stay In The Game: Sign-Up Form

Stay In The Game: Sign-Up Form

Please complete the sign-up form below to register your interest for the Stay In The Game event which takes place on Friday 21st April, 2023. Cognitive Behavioural Psychotherapy Ireland will contact you to confirm your booking. If you have any queries, please contact: info@cbti.ie
Contact Details (Required)
Name*

First NameLast Name
Are you a registered CBPI Member?*

YesNo
Occupation:*
Professional Body of Membership:
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Where did you hear about this event?*

Social MediaCBPI WebsiteEmailWord of MouthOther
Ticket Information

Please select the number of tickets required below:
CBPI Member: Ticket (€195 each)
E.g. Quantity of 1 = 1 Ticket
General Public: Ticket (€220)
Offer: Limited Time Only! (Full Price: €235)
General Public: 4 Ticket Package Deal (€220 x 4)
E.g. Quantity of 1 = 4 Tickets
If you are purchasing multiple tickets, please provide the names of your attendees below:
If you are booking on behalf of a business/organisation, please state the name below:
Please provide any additional queries or comments below:
Data Privacy Statement
We require limited personal information (name, email address, mobile number) for communications and updates preceding, during, and post-event. CBPI-CLG collects and processes data for the purposes of fulfilling your registration order, analyzing how this site performs and marketing for future related CBPI events. We never circulate or sell attendee lists or contact information, nor do we authorize others to do so. All users maintain the right of erasure and can withdraw their consent at any time. Please see our Privacy Policy for additional information.

Only the authorised official appointed by CBPI may take photographs and recordings. CBPI-CLG will document the seminar by taking photos of the sessions and activities. By registering or attending the seminar, you authorise the use of your photos and videos at the CBPI website and information/promotional materials. Information supplied by CBPI-CLG in relation to the seminar is accurate to the best of our knowledge and belief but cannot constitute any warranty or representation. Any inaccuracy, mistakes or omission in such information shall not entitle the participant/s to cancel their order/booking. All information and data relating to the seminar is the copyright of CBPI-CLG and cannot be passed on to any third party for any purpose.

For queries, concerns, or to opt-out, please contact: info@cbti.ie

Cognitive Behavioural Psychotherapy Ireland (CBPI) | Company Registration No: 257688 | www.cbti.ie |
Please indicate your consent below:*

I confirm that I have read, understood, and agree to the Terms and Conditions.I do not consent (and therefore, please do not process my registration)
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Stay In The Game: Sign-Up Form

Contact Details (Required)

Ticket Information

Data Privacy Statement