Registration form West Midlands event | 22 January | ICC Birmingham

Please enter your details below to register for the West Midlands Event on how emergency department teams can help prevent serious violence, and the regional teaching on haematology and trauma.

We are looking forward to welcoming you on Wednesday 22 January at the ICC Birmingham. If you need any help or support in the meantime, please contact events@rcem.ac.uk or call us on 020 3931 0700. Please note, phone lines are open Monday - Friday, 09:00 - 17:00 (GMT).

More information about the event, including the latest programme, can be found online by clicking here.

Attendee details

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* 1. First name

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* 2. Last name

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* 3. Contact email address

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* 4. Job title or role

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* 5. Organisation

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* 6. Do you have any dietary requirements?

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* 7. Do you have any special or accessibility requirements?

Yes

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* 8. Please select which parts of the day you wish to register for

Morning sessions only | 10:00 - 12:30 | Focussed on how emergency department teams can help prevent serious violence

Afternoon sessions only | 13:30 - 16:30 | Focussed on regional teaching - haematology and trauma

Full day | 10:00 - 16:30

Please note, all timings may be subject to change.

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* 9. Do you agree to the terms and conditions of booking?

I agree