Spring Professional Development Program – Registration

Thank you for your interest in the Spring Professional Development Program. Please fill out the below registration to secure your place on the program.

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Professional Development Applicant Information

Name*

First Last

Professional Title

Email*

Gender / Pronouns*

Work Phone*

Cell Phone

Institution Information

Name of Institution*

Institution Address*

Website*

Trip Information

Please let us know if you are coming with other colleagues, or a partner, or a friend, or on your own. Accommodation is based on shared twin or double rooms- Private single accommodation is available and will incur an extra charge.

Accommodation Preference*

Dietary Requirements (Vegan/Vegetarian/Gluten-Free Etc.)*

Are you bringing a guest? If so, whom?*

Let us know if you are travelling with a colleague, a partner or a friend? Please note that this is not a suitable program for children or teenagers.

Please enter the name of the guest you are bringing*

Please list your guests and their relationship to you (Family, Colleague, Other etc.)*

Please clarify your arrival and departure dates below. If you need assistance booking an extra night before or after the dates, let us know.*

Adding on some time to your trip? If you would like some assistance with booking in to your conference hotel a day early, or stay on a day later, we can assist you. Please note that the conference dates are from the day the program begins. So if conference dates say April 16-20 that means you depart US April 15, should arrive in Ireland on April 16 and depart on April 21.

Payment information

A deposit of $98 is required to confirm your place at the forum. Deposit receipts and payments may be invoiced and/or copied to institutional sponsors.

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Price:

Total

Credit Card

Name*

First Last

Billing Address*

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country