LCNUK Annual Project 2024

Annual Workshop Registration

First Name *

Last Name *

Email *

Address Line 1 *

Address Line 2

Town / City *

Postcode *

Region *

Number of years experience you have as a LCNS *

Have you ever been to an Annual Workshop before? *

Yes No

Enter the year or details of the project you worked on when you last attended *

If you have attended more than one workshop please enter the most recent attended.

Why do you wish to attend this workshop? *

Please provide in 300 words or less a brief description of why you would like to attend the workshop, what skills you will bring to the project and what you would like to achieve from attending the workshop.

Do you require accommodation on the 23rd September? *

Yes No

Please indicate if there are any specific dietary requirements you'd like to have catered for or any way we can ensure the event is accessible for you.

Other dietary requirements

Any additional needs or assistance required

Vegetarian	Vegan	Gluten-free	Wheat-free
Lactose-free	Dairy-free	Halal	Kosher
Other (please specify)

Phone

CORRESPONDENCE ADDRESS

More information

LCNUK Annual Project 2024

Join Lung Cancer Nursing UK

Annual Conference

Phone

CORRESPONDENCE ADDRESS

More information