Mental Health for Education Event

Please complete all of the details

Question Title

* 1. First Name

Question Title

* 2. Surname

Question Title

* 3. Are you an ATL Member?

Yes

No

Question Title

* 4. Membership number. If you are unsure of your membership number please email membership@atl.org.uk your place will not be reserved without a valid membership number. If you are a non member please put in your postcode.

Question Title

* 5. Are you a rep, ULR or contact?

Yes

No

Question Title

* 6. Which session would you like to attend?

22nd June 2016 1pm – 5pm Edge Hill University

15th July 20016 9am – 1pm Everton Football Club