Conference Attendance Booking Form 2025

Conference Attendance Booking Form 2025

Please fill out the form to register for the conference and specify your accommodation preferences.
ContactID
Name*

First NameLast Name
Email Address*
example@example.com
Mobile Phone Number*
Please enter a valid phone number.Format: 000 0000000.
Address

Address

Town/CityCountyEircode
AloneWith a guest/caregiver
Name of guest/caregiver
Yes, I will stay overnightNo, I will not stay overnight
Require overnight stay 2nd OctoberRequire overnight stay 3rd OctoberRequire overnight stay for 2nd and 3rd OctoberI will attend the conference only and do not require accommodation
Accommodation Options
The hotel has a limited number of each room type. We cannot guarantee your choice of room but will do our best to facilitate your needs. Double rooms have 1 bed. Twin rooms have 2 beds. Please only choose a room with shower only or a wheelchair accessible room if you need it based on mobility issues.
Which workshop will you attend?*
We are running 2 workshops on the afternoon of 3rd October and advance registration is required. Please choose the workshop you will attend.
Which workshop will your Guest/Caregiver attend?
We are running 2 workshops on the afternoon of 3rd October and advance registration is required. Please choose the workshop your guest/caregiver will attend.
Yes, a wheelchairYes, a rollator/walking frameYes, a walking stick/crutchesNo
Room close to the liftOver Toilet FrameShower ChairOther (provide details in the Additional Comments or Requirements Box)
YesNo
Special Dietary Requirements
If you (or your guest) have any special dietary requirements please provide details
Additional Comments or Requirements
Please let us know if you have any additional requirements for your stay.
Should be Empty: