NAPICU 2026 Annual Conference - Delegate Registration Form

DELEGATE REGISTRATION FORM

Please ensure you fill all relevant information and read the terms & conditions are the end of this form before submission.
Important Booking Information

Please note that group bookings are available for residential packages only. A group booking must consist of a minimum and maximum of 6 delegates. Bookings for more than 6 delegates must be submitted using two separate booking forms.

The early bird rate closes on 30th June. This discounted rate will not be extended or reserved after this date under any circumstances.

If your trust or organisation operates a No PO, No Pay policy, you must raise a purchase order (PO) number prior to booking, or confirm with your ward manager or senior authority that you have approval to proceed. Please ensure you reference the price list when raising PO numbers.

Once a booking is made and confirmed by NAPICU via invoice, it will remain valid. Bookings will not be cancelled due to non-payment, lack of communication, or non-attendance. Cancellations will only be accepted in writing from the main booking contact. (Read our terms & conditions)
Are you a delegate on this booking?*
Are you the main contact for this booking?*
How many delegates are you booking for?*
Maximum 6 delegates
Yes I know the delegates who will be attendingNo, but I want to book places for a set number of delegates
Your Name (Person filling out the form on behalf of someone else)*

First NameLast Name
MAIN BOOKING CONTACT DETAILS

Please fill in the information below for the person who is responsible for & main contact for this booking
Main Booking Contact Name*

First NameLast Name
Main Booking Contact Email*
example@example.com
Main Booking Contact Phone Number*
BOOKING DETAILS

Please complete the information below. If you are a member of NAPICU, you are eligible for discounted member rates.

Please note that we cross-check all registrations to confirm active membership. If you’re unsure whether your ward or personal membership is still active, don't hesitate to get in touch with us at info@napicu.org.uk

Memberships typically expires on 31st March each year, unless your ward has purchased a 2–3 year membership.

If your ward or personal membership has lapsed or is inactive, you have up to 14 days to renew and retain the member rate. After this period, your registration will be updated to non-member rates, and we will contact you before making any changes.
Ward MembershipPersonal MembershipNon-member
Full Trust/Organisation Name*
Please enter the name of your work place. (No acronyms)
Ward Name

Delegate Details - Single Booking

Please provide all details for the delegate attending. Ensure this is filled out if you are booking on behalf of someone. If you your details are as above please provide Dietary & any additional information regarding this booking.
Delegate Details (Single Booking)

PrefixFull NameEmail Address
Delegate Dietary Requirements (Single Booking)
Please write any important information for any delegates attending:
I.e Additional Allergies, Dietary, Access Requirements etc.

Delegate Details - Group Booking

Please provide all details for each delegate who will be attending the conference. If you do not know the delegates who will be attending yet, please write "Delegate 1", "Delegate 2" etc.
Delegate Information
Please write any important information for any delegates attending:
I.e Additional Allergies, Dietary, Access Requirements etc.

Billing & Payment Details

Please provide correct information as it should be seen on the invoice. We ask if you do not have a PO number yet to write in the PO Number box "TBC". This allows us to note we will be expecting a PO from your trust/organisation.
I, the main contact will be paying for this bookingTrust/Organisation will be paying for this booking
Trust/Organisation*
Please put your name if this is a personal invoice.
PO Number
Email Address*
Phone Number
Invoice Address*

Terms & Conditions

Please read and confirm these Terms and Conditions before completing your booking. You will also receive a copy of these Terms and Conditions by email once your booking is submitted. If you are completing this form on behalf of someone else, please ensure they are made aware of and have read these Terms and Conditions.
I have read and agree to the Early Bird Rate terms.
I understand the refund and cancellation policy and agree to these terms.
I agree to the delegate name change policy.
If submitting a booking form without delegate names, you understand that if no delegates can attend after the 1st July 2026 cancellation date, full payment is still required and it is the responsibility of the main booking contact to organise this. Reductions in delegate numbers on group bookings must be made before 1st July 2026 otherwise you will still be liable to pay the full amount for all delegate places on the booking form. Final delegate names must be submitted by Monday 7th September 2026 for badge printing.*

I agree to the terms for bookings submitted without delegate names.
If your trust operates a “No Pay, No PO” policy, it is your responsibility (not NAPICU’s) to ensure a valid PO is provided during booking or after. NAPICU will not cancel your booking if a PO is missing; the booking remains confirmed and full payment is still required. PO numbers are for internal trust use only and are not a condition of NAPICU’s acceptance. If funding for the conference is withdrawn, please notify NAPICU in writing before the cancellation date to avoid charges.*

I agree to the PO requirements and payment responsibilities. I will notify NAPICU of any changes to funding if we can no longer attend prior to the conference.
If you do not attend the event and have not cancelled in writing via email to NAPICU, you are still required to pay in full. NAPICU includes your booking in venue, catering, and other costs. Payment is due within 28 days of the invoice or prior to the event (whichever is sooner). If unable to pay by this deadline, you must inform NAPICU; however, payment is still required in full after 1st July 2026. Unpaid bookings may result in restrictions on future bookings for your trust or organisation.*

I agree to the non-attendance, payment, and cancellation terms.
I acknowledge and agree to the consequences of non-payment.
Please note: NAPICU will have a photographer on site. Images will be used for social media purposes to further promote future events. If you do not wish to have your pictures taken then please advise the NAPICU Administration office by email - info@napicu.org.uk. We advise you also inform the photographer on the day of the event.

Please advise the NAPICU Administration office if you do not wish to have your name appear on the delegate list.
I acknowledge that it is my responsibility (or my organisation’s responsibility) to ensure full and timely payment in accordance with these terms.
Any additional information (Such as name changes etc.)
Should be Empty:

DELEGATE REGISTRATION FORM

Conference Packages

Early Bird Rates close on 30th June 2026

Delegate Details - Single Booking

Delegate Details - Group Booking

Billing & Payment Details

Terms & Conditions