Pre-conference registration

Registration Form

Participative Health Research in Ireland [Pre-conference to ICPHR AWM 2017]
May 23rd, 2017
Galway, Ireland

* Indicates required field

**Name *

First

Last

**Email *

**Affiliation *

Please specify any special assistance/specific meal requirements *

Do you want to be part of the walking tour of Galway at 4.45 on 23rd? *

Yes, I would like to participate No, I will not be participating

Do you want to come out to dinner with us? (Additional cost, paid individually) *

Yes, I would like to participate No, I will not be participating

Do you want a seat on the tour bus down to Limerick (AWM 2017 location) on 24th @20 Euro a head *

Yes, I would like to participate No, I will not be participating

Dr. Siobhán O'Higgins
School of Psychology
National University of Galway, Ireland
Phone number: 091 495831
Email: [email protected]

*Submit