Request for Balanced Eating Basics

Thank you for your interest in this event/program. Please complete and submit the form below.

Timeslot:

Thursday 26th Oct 2023, 12:00pm - 1:00pm

Location:

* Virtual Mtg *

Capacity:

Although this event is fully booked you can complete the registration form below to be added to the waitlist

Name:

Date of Birth:

Email:

Confirm email:

Phone Number:

Message:

Important:

By registering for this workshop, I understand and agree that:

I am registering to participate in a live video-conference patient and caregiver workshop/presentation for the purpose of learning (and not for medical treatment)
My voice and image will be shown on the screen if I choose to speak/participate during the videoconference
My name will be shown on the screen as it appears on my MS teams account
E-mail communications over the internet are not secure and there is a risk that e-mail can be intercepted and read by other parties. By providing your email address you accept this risk.

Do you agree to the above statement(s)? Yes