EHC World Haemophilia Day 2019

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Registration Form

You have been invited to the EHC World Haemophilia Day 2019, which will take place on the 16th April 2019 in The Royal College of Physicians, Dublin. To facilitate the practical preparations, please fill in the following information.

Here below we ask you to provide some personal data to help us better plan, prepare and run the upcoming event. Please note that in line with the new European General Data Protection Regulation (GDPR), the EHC will collect and process the data you provide here below as per its Data Privacy Policy, which can be accessed on our website (https://www.ehc.eu/data-privacy-policy/). Your data will will be deleted after the event. If you have any additional question about how we treat your data, please get in touch with laura.savini@ehc.eu

Venue: The Royal College of Physicians, Dublin

First Name *

Last Name *

Email Address *

Organisation *

Country (to appear on badge) *

Mobile Phone Number *

Dietary Restrictions

The EHC will be taking pictures and filming the event to develop some of it's communication material. Do you agree to have your picture taken and/or being filmed on the day so that the EHC can use these images to develop its communication material? *

Yes, I agree to have my picture taken or to be filmed during the event. I agree that the EHC may use these pictures or films for its communication materials.

No, I do not agree to have my picture taken or to be filmed during the event. I do not allow the EHC to use pictures or video footage of myself to develop its communication materials.

Do you agree to have your name on the participants' list, which will be shared with the event participants? *

Yes

If you are a speaker, do you agree to share your presentation in paper and PDF format with the event participants?

Yes

I am not a speaker

Clear selection

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms