Second Person 2015

To register your attendance at the Second Person Workshop, please provide details below. Lunch and refreshments will be provided for both days. Attendance at the conference dinner, on Friday night, costs £30. To register for dinner and pay, please use the form below.

{"elements":[{"isDiscrete":false,"hidden":false,"name":"1476375358976_0.14185791932689307_0.5058433220359655","readOnly":false,"id":319933073,"type":"commentElement"},{"isDiscrete":false,"hidden":false,"name":"Name","readOnly":false,"id":319933074,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"University","readOnly":false,"id":319933075,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Email","readOnly":false,"id":319933076,"type":"emailElement"},{"isDiscrete":false,"hidden":false,"name":"1476375358976_0.5887069469434029_0.44440624619753377","readOnly":false,"id":319933077,"type":"commentElement"},{"isDiscrete":true,"hidden":false,"values":[{"text":"Friday","value":"0-friday"},{"text":"Saturday","value":"1-saturday"}],"name":"Days","readOnly":false,"id":319933078,"type":"checkboxElement"},{"isDiscrete":false,"hidden":false,"name":"1476375358977_0.584643225815412_0.4387731947506277","readOnly":false,"id":319933079,"type":"commentElement"},{"isDiscrete":true,"hidden":false,"values":[{"text":"----","value":"----"},{"text":"Dinner","value":"30.00"}],"name":"Payment for dinner","readOnly":false,"id":319933080,"type":"paymentElement"},{"isDiscrete":false,"hidden":false,"name":"1476375358977_0.8442611805938116_0.4269855055871321","readOnly":false,"id":319933081,"type":"commentElement"},{"isDiscrete":true,"hidden":false,"values":[{"text":"Yes, please include my name, university and e-mail address","value":"0-yespleaseincludemynameuniversityandemailaddress"},{"text":"Yes, please include my name and university only","value":"1-yespleaseincludemynameanduniversityonly"},{"text":"I would prefer not to be included","value":"2-iwouldprefernottobeincluded"}],"name":"Delegate-List","readOnly":false,"id":319933082,"type":"radioElement"},{"isDiscrete":false,"hidden":false,"name":"1476375358978_0.021624275819139283_0.7019891296580929","readOnly":false,"id":319933083,"type":"commentElement"},{"isDiscrete":false,"hidden":false,"name":"Dietary needs","readOnly":false,"id":319933084,"type":"textBoxElement"},{"isDiscrete":false,"hidden":false,"name":"Accessibility","readOnly":false,"id":319933085,"type":"textBoxElement"}]}

*Contact Details*

Name

University

E-mail address

*Attendance*

Friday

Saturday

If you would like to attend the conference dinner on Friday 20th March, please indicate that below and choose the relevant payment option. The conference dinner costs £30.

Payment for dinner

*List of Delegates*

Yes, please include my name, university and e-mail address

Yes, please include my name and university only

I would prefer not to be included

Special Requirements

Please let us know if you have any specific dietary requirements

Please let us know if you have any specific accessibility requirements

Privacy notice

This form will be used to manage attendance at the Second Person Workshop 2015. Your registration will be recorded and associated with your name, but no other personally identifiable data will be stored, and the data will not be used for any purpose other than as a record of the event (unless you have requested information to be included in the list of delegates, a copy of which will be distributed to all attendees).

The University of Warwick is the Data Controller of any information you have entered on this form and is committed to protecting the rights of individuals in line with Data Protection Legislation. The University's Data Protection webpages provide further information on your rights and how the University processes personal data. If you wish to submit a data subjects rights request, make a complaint or report a suspected personal data breach, please contact the University’s Data Protection Officer by email at infocompliance@warwick.ac.uk.

Spam prevention

Warwick Mind and Action Research Centre (WMA)

Second Person 2015

Failure to load reCAPTCHA