Registration WONEP Neonatal Ventilation Study Day 17th June 2020

Registration Page

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* 1. Please enter your name as it would appear on your certificate

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* 2. My email address is

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* 3. I work at

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* 4. My designation is

Consultant Neonatologist

Neonatal Grid Trainee

Neonatal Nurse

Consultant Paediatrician

Consultant Obstetrician

Midwife

ST1-4 Paediatrics

ST4-8 Paediatrics

ANNP

MTI Fellow

Other (please specify)

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* 5. I want to attend this study day because

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* 6. I am

Non-vegetarian

Vegetarian

Vegan

Special Requirements (please specify)

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* 7. I have sent a cheque payable for 30 pounds in favor of SCBU charity (Address Amanda Binns Level E Princess Anne Hospital Southampton SO16 5YA) Yes or No