National Conference and Family Weekend Booking

£0.00

Please use the form below to book onto CLDF’s National Conference and Family Weekend on Saturday 6th / Sunday 7th October 2018.

This form is for groups of 5 or fewer. If you would like to book for more than 5 people, or have any other queries, please call us on 0121 212 6008.

Please be aware that your booking is not complete until we have received payment – you will be redirected to WorldPay as soon as you have submitted your booking form. So please have your debit/credit card ready.

Following receipt of your payment, any delegate/creche*/trip* places, meals and/or accommodation you have booked will be reserved for you (*subject to the return of Activity Medical & Disclaimer Form(s)).


Booking deposits for the event:

Conference – £10 per delegate (Refundable on request after the event)


Accommodation 

£40 per group (refundable on request after the conference). Please note accommodation is for immediate family only (i.e. parents/carers/children with liver condition/sibling(s)). Extended family members will need to contact Crowne Plaza to book their own accommodation.

If you have any questions, please give us a call on 0121 212 6008 or email conference@childliverdisease.org.


Supplementary Fees:

Trip to Drayton Manor – £10 per child with liver condition/transplant and £10 per sibling

Creche – £5 per child with liver condition/transplant and £5 per sibling

Evening Meal – £10 per group (can include extended family)

Lead booker title *

Lead booker first name *

Lead booker surname *

Lead booker address *

Lead booker email address *

Lead booker phone number *

Ethnicity

I am

Date of birth (if under 18)

Health Information

Please tick to give us your explicit consent to process your/your child(ren)’s health information

Liver condition and/or liver transplant

Additional attendee title

First name

Surname

Ethnicity

Relationship to lead adult

Date of birth (if under 18)

Liver condition and/or liver transplant

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Hidden Layout

Additional attendee title

First name

Surname

Ethnicity

Relationship to lead adult

Date of birth (if under 18)

Liver condition and/or liver transplant

Hidden Layout

Hidden Layout

Additional attendee title

First name

Surname

Ethnicity

Relationship to lead adult

Date of birth (if under 18)

Liver condition and/or liver transplant

Hidden Layout

Hidden Layout

Additional attendee title

First name

Surname

Ethnicity

Relationship to lead adult

Date of birth (if under 18)

Liver condition and/or liver transplant

Hidden Layout

Hidden Layout

Event Options

This must be a number!

This must be a number!

This must be a number!

This must be a number!

This must be a number!

Names for evening meal (if applicable)

Names for accommodation (if applicable)

Group dietary requirements (if applicable)

Any additional information