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Designation(Required)

Please select your Designation

First Name(Required)

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Last Name(Required)

Please enter your Last Name

Email Address(Required)

Enter Email Confirm Email

Please enter your Email Address

Phone Number(Required)

Please enter your UK Phone Number

Professional Title(Required)

Please select your Professional Title, e.g. Consultant, Resident, Nurse, Student, etc.

Specialty and Area of Practice(Required)

Please enter your Specialty or Area of Practice

Are you a MANSAG Member?(Required)

Please enter your MANSAG Membership Number(Required)

Is your MANSAG Membership Status Active

MANSAG Regional Chapter(Required)

Please select your MANSAG Regional Chapter

Do you have any Dietary Restrictions or Allergies?(Required)

Your Dietary Restrictions or Allergies

Please list your Dietary Restrictions or Allergies separated by commas

Do you have Accessibility and other Special Needs?(Required)

Please specify your specific Acccessibility and other Special Needs

e.g. Mobility, Hearing, etc..

28th MANSAG Annual General Conference and Meeting Selection

I wish to attend the:(Required)

I will attend the Friday Conference Session as a Member:

I will attend the Friday Conference Session as a Non-Member:

I will attend the Saturday Conference Session as a Member:

I will attend the Saturday Conference Session as a Non-Member:

I will attend the Friday and Saturday Conference Sessions as a Member:

I will attend the Friday and Saturday Conference Sessions as a Non-Member:

I will attend the Friday and Saturday Conference Sessions and Dinner as a Member:

I will attend the Friday and Saturday Conference Sessions and Dinner as a Non-Member:

I will attend the Saturday Conference Session and Dinner as a Member:

I will attend the Saturday Conference Session and Dinner as a Non-Member:

I will attend the Conference Dinner as a Member:

I will attend the Conference Dinner as a Non-Member:

Make an optional donation towards our MANSAG Diaspora Projects – STAR and SCALE projects

I will be joining you for the 5K Charity Run/Walk on Saturday Morning to support MANSAG Diaspora Projects?(Required)

Family Registration Details

Please note that additional Fees may apply for family activities not currently listed.

Will you be attending the 2025 MANSAG Conference with your Family?(Required)

Will you be attending the 2025 MANSAG Conference with your Spouse?

Please enter the Full Name and Dietary Restrictions or Allergies, if any, of your Spouse

Please specify which 2025 MANSAG Conference Session your Spouse will attend

Please specify which Social Activity your Family would like to attend (16:30pm, Saturday only)

Will you be attending the MANSAG Conference with your Children?

Please specify which Social Activity your Child/Children will attend (9:30am, Saturday only)

How many Children will you be attending with?

Please specify the Full Name and Dietary Restrictions or Allergies, if any, of your first listed Child

i.e. Full Name and Dietary Restrictions or Allergies (if any)

Please select the Age group of your first listed Child(Required)

Please specify the Full Name and Dietary Restrictions or Allergies, if any, of your second listed Child

i.e. Full Name and Dietary Restrictions or Allergies (if any)

Please select the Age group of your second listed Child(Required)

Please specify the Full Name and Dietary Restrictions or Allergies, if any, of your third listed Child

i.e. Full Name and Dietary Restrictions or Allergies (if any)

Please select the Age group of your third listed Child(Required)

Please specify the Full Name and Dietary Restrictions or Allergies, if any, of your fourth listed Child

i.e. Full Name and Dietary Restrictions or Allergies (if any)

Please select the Age group of your fourth listed Child(Required)

Accommodation and Logistics Details

Do you require accommodation while attending the 2025 MANSAG Annual General Conference and Meeting?(Required)

Should you require accommodation at the Cambridge Belfry Hotel while attending the MANSAG 2025 Conference and Meeting from the 24th to 26th of October, be advised that there are three room categories on offer at this facility; Single, Double and Family rooms. MANSAG has made arrangements to provide discounted rates to Conference attendees up until 27 September 2025.

Attendees who wish to make use of this discount facility may make their reservations directly with the Cambridge Belfry Hotel by calling 0330 107 1599. Guests are advised to request that they wish to book a room on the MANSAG 2025 Conference allocation. Alternatively, attendees may also make hotel bookings at the Holiday Inn Hotel across the street. Please be advised that room availability is limited and is on a first come, first served basis. Please note that MANSAG is regretfully unable to take any enquiries relating to your accommodation needs at this facility.

Signed,
Local Organizing Committee

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28th MANSAG Annual General Conference and Meeting Selection

Family Registration Details

Accommodation and Logistics Details

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