Title
Please select your Professional Registration Body
If "other", please specify
Professional Registration Body No (if applicable)
Please note: please ensure you add your full number
Gender Identity *
If "other", please specify
Special Dietary Requirements *
If "other", please specify
Please note that there will be a photographer present at the conference, do you grant permission for your image to be taken? *
Registration Type *
I grant the organizing committee permission to supply my contact details to the sponsors represented at SASHA 2022 *
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