Event booking form page | Welsh Cardiothoracic Society

Event registration form

Prefix

First Name

Last Name

Contact Number

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Institution

Organisation

Registration Types

Consultant – Consultant (substantive or locum) surgeon, physician, cariologist, anaesthetist, respiratory physician, other

Trainee/TAD – NTN ST1-8; Associate Specialist of Staff Grade; Clinical Fellow or Trust doctor, Core Surgical Trainee, Foundation year doctor, Research Fellow, medical student

Nurse or AHP – Advanced Nurse Practitioner (ANP), Surgical Care Practitioner (SCP), Physician’s Assistant (PA), Cardiothoracic Nurse, Research Nurse, Perfusionist, Physiotherapist, Pharmacist and Occupational Therapist.

Management – Health Board: C&VUHB, SBUHB, ABUHB, HDDUHB, CTMUHB, BCUHB, PTHB

Welsh Government - NHS Wales Joint Commissioning Committee, Welsh Government, Welsh Cancer Network, Public Health Wales

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I am willing for my data to be processed as outlined above

I am willing my name and hospital/institution to be sent to companies or organisations who have exhibited at the WCTS meeting

I am willing to have my photographs posted on the WCTS web site

None of the above

I consent to have this website store my submitted information so they can respond to my inquiry

Event Registration Form