Action Duchenne Professionals Registration

Professionals - Registration

If you are booking for a group: after entering all attendee names below, the registration form will then ask you to select the registration type and details for each person in the group, one by one. If you don't know all of the information for every attendee at the point of booking you will be able to edit the form after it's submitted.

I am not attending

Group Contact

Contact Details

First Name

Last Name

Email Address

Verify Email Address

Mobile number

Billing Address

Address Line 1

Address Line 2

Address City

Address Country

Postcode

Group Members

Group Size

Dinner

Nov 14, 2025 | 1900 - 2200

Adult Dinner Ticket

AMOUNT

38.00

TOTAL

No, thank you

Contact Details

First Name

Last Name

Company

Job Title

Email Address

Verify Email Address

Mobile number

Billing Address

Address Line 1

Address Line 2

City

Country

Postcode

Additional Information

Any special requirements?

Dietary Requirements

If other, please specify below

Please note, if provided, your full name and dietary requirement will be shared with the Leonardo Hinckley Island for the purpose of delivering this event.

Professionals - Registration

Contact Details

Billing Address

Group Members

Please indicate which member of your group you are booking for?

By making a Group Booking, the Lead Booker agrees and acknowledges that they have the consent of each group member to disclose their personal data.

Your Action Duchenne Shopping Basket

Please select your ticket type and what day(s) you would like to join us:

Pharmaceutical Company

Postgraduate Student

Voluntary Sector Organisation

Other Professional

NHS & Local Authority Employees

Would you like to join us for dinner on Friday 14th November?

Dinner

Individual Information

Personal Information

Contact Details

Billing Address

Additional Information

I agree to share my first and last name on the delegate list

Data Processing Consent

Summary

Terms and Conditions

Payment

Thank You

Action Duchenne Professionals Registration

Professionals - Registration

Contact Details

Billing Address

Group Members

Please indicate which member of your group you are booking for?

By making a Group Booking, the Lead Booker agrees and acknowledges that they have the consent of each group member to disclose their personal data.

Your Action Duchenne Shopping Basket

Please select your ticket type and what day(s) you would like to join us:

Pharmaceutical Company

Postgraduate Student

Voluntary Sector Organisation

Other Professional

NHS & Local Authority Employees

Would you like to join us for dinner on Friday 14th November?

Dinner

Individual Information

Personal Information

Contact Details

Billing Address

Additional Information

I agree to share my first and last name on the delegate list

Data Processing Consent

Summary

Terms and Conditions

Payment

Thank You

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