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 

Unfortunately, accommodation is now fully booked. There are several hotels in the area within walking distance. Please get in touch if we can assist you further.

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 – Sold Out . You can add your child to a waiting list if there are any cancelations. For further information email: conference@childliverdisease.org

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!

Names for evening meal (if applicable)

Group dietary requirements (if applicable)

Any additional information