From Bedside to Breakthrough A symposium by Helen & Douglas House Thank you for letting us know if you can join us at Magdalen College on 24th September for our event: From Bedside to Breakthrough. Please complete your details below.Your detailsName(Required) First Name Surname Name of Organisation or Trust (if you are attending as a representative). Please leave blank if not relevant.Email(Required) Phone(Required)Will you be attending From Bedside to Breakthrough, A Symposium by Helen & Douglas House?(Required) Yes No Do you have any access requirements?(Required) Yes No Please give details(Required)Blue Badge HolderMobility LimitedWheelchair AccessOtherOther details(Required)Drinks and canapes will be provided. Do you have any food allergies or dietary requirements?(Required) Yes No Dietary requirements(Required)Gluten-freeVeganVegetarianOtherOther details(Required)Would you like to bring a guest?(Required) Yes No Guest detailsName of guest First Name Surname Does your guest have any access requirements?(Required) Yes No Please give details(Required)Blue Badge HolderMobility LimitedWheelchair AccessOtherOther details(Required)Does your guest have any food allergies or dietary requirements?(Required) Yes No Dietary requirements(Required)Gluten-freeVeganVegetarianOtherOther details(Required)Stay in touchWe may stay in touch with you by post, phone and social media with news from the hospice, information about events you might be interested in and other ways your fundraising can support terminally ill children. If you would also like to hear from us by email, please tick here.Email Opt In Yes, I'm happy to receive emails from Helen & Douglas House We take your privacy seriously. For more information about what we do with your data, please read our privacy policy at www.hdh.org.uk/supporter. You can opt-out of receiving this information, or having your data used in these ways, at any time by contacting us on [email protected] or 01865 799150.
