Workshop Registration

{"elements":[{"isDiscrete":false,"hidden":false,"name":"1256032687110_0.4310978690992736_0.06713571659549378","readOnly":false,"id":28299952,"type":"commentElement"},{"isDiscrete":false,"hidden":false,"name":"Title","readOnly":false,"id":23417964,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"First name(s)","readOnly":false,"id":23417965,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Last name","readOnly":false,"id":23417966,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Highest Qualification","readOnly":false,"id":23417973,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Current position","readOnly":false,"id":28299866,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Organisation","readOnly":false,"id":23417975,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Address line 1","readOnly":false,"id":23417976,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Address line 2","readOnly":false,"id":23417977,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Town or city","readOnly":false,"id":23417978,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"County","readOnly":false,"id":23417979,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Postcode","readOnly":false,"id":23417980,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Country","readOnly":false,"id":23417981,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Telephone","readOnly":false,"id":23417982,"type":"phoneNumber"},{"isDiscrete":false,"hidden":false,"name":"Mobile","readOnly":false,"id":23417983,"type":"phoneNumber"},{"isDiscrete":false,"hidden":false,"name":"Email","readOnly":false,"id":23417984,"type":"emailElement"},{"isDiscrete":false,"hidden":false,"name":"Dietary requirements (please detail)","readOnly":false,"id":28298543,"type":"textBoxElement"},{"isDiscrete":false,"hidden":false,"name":"Any accessibility or support requirements (please detail)","readOnly":false,"id":28462211,"type":"textBoxElement"},{"isDiscrete":false,"hidden":false,"name":"1256723859114_0.5898620027570857_0.43417171904128726","readOnly":false,"id":28733785,"type":"commentElement"},{"isDiscrete":false,"hidden":false,"name":"1256641705995_0.08795117103124117_0.9005722554458033","readOnly":false,"id":28698702,"type":"commentElement"},{"isDiscrete":true,"hidden":false,"values":[{"text":"Anatomical Bodies: 13th - 14th April 2010|Anatomical Bodies: 13th - 14th April 2010|Anatomical Bodies: 13th – 14th April 2010","value":"0-anatomicalbodies13th14thapril2010anatomicalbodies13th14thapril2010anatomicalbodies13th821114thapril2010"},{"text":"Diagnostic Radiology: 26th - 27th January 2010|Diagnostic Radiology: 26th - 27th January 2010|Diagnostic Radiology: 26th – 27th January 2010","value":"1-diagnosticradiology26th27thjanuary2010diagnosticradiology26th27thjanuary2010diagnosticradiology26th821127thjanuary2010"},{"text":"Virtual Reality: 24th - 25th May 2010|Virtual Reality: 24th - 25th May 2010|Virtual Reality: 24th – 25th May 2010","value":"2-virtualreality24th25thmay2010virtualreality24th25thmay2010virtualreality24th821125thmay2010"},{"text":"3D Foetal Ultrasound: 6th - 7th July 2010|3D Foetal Ultrasound: 6th - 7th July 2010|3D Foetal Ultrasound: 6th – 7th July 2010","value":"3-3dfoetalultrasound6th7thjuly20103dfoetalultrasound6th7thjuly20103dfoetalultrasound6th82117thjuly2010"}],"name":"50","readOnly":false,"id":30114544,"type":"checkboxElement"},{"isDiscrete":false,"hidden":false,"name":"Where did you hear about the workshop","readOnly":false,"id":28462362,"type":"textBoxElement"},{"isDiscrete":false,"hidden":false,"name":"Interests","readOnly":false,"id":28462467,"type":"textBoxElement"},{"isDiscrete":true,"hidden":false,"values":[{"text":"----","value":"0-"},{"text":"Yes|Yes|Yes","value":"1-yesyesyes"},{"text":"No|No|No","value":"2-nonono"}],"name":"Do you want to apply for funding to attend the workshop","readOnly":false,"id":28698583,"type":"listElement"},{"isDiscrete":true,"hidden":false,"values":[{"text":"I confirm that I do not have an alternative source of funding to attend this workshop|I confirm that I do not have an alternative source of funding to attend this workshop|I confirm that I do not have an alternative source of funding to attend this workshop","value":"0-iconfirmthatidonothaveanalternativesourceoffundingtoattendthisworkshopiconfirmthatidonothaveanalternativesourceoffundingtoattendthisworkshopiconfirmthatidonothaveanalternativesourceoffundingtoattendthisworkshop"}],"name":"Declaration","readOnly":false,"id":28698589,"type":"checkboxElement"},{"isDiscrete":false,"hidden":false,"name":"1256641531688_0.08788709705359665_0.5661986191905322","readOnly":false,"id":28698620,"type":"commentElement"},{"isDiscrete":false,"hidden":false,"name":"1259318178536_0.28597302096270494_0.14647737264174887","readOnly":false,"id":29958337,"type":"commentElement"},{"isDiscrete":false,"hidden":false,"name":"1248863219666_0.17773096259691445_0.39040076301970095","readOnly":false,"id":23677997,"type":"commentElement"}]}