The Brain Cancer Group Inaugural Scientific Meeting - 27 October 2019

“APPLYING ADVANCED IMAGING TO NEURO-ONCOLOGY”
International Convention Centre Sydney, Australia.

Registration Fee:
Clinician $200 AUD | Non-Clinician (Allied Health) $120 AUD

REGISTRATION FORM

* Required fields

In accordance with the GDPR (General Data Protection Regulations) regulations and requirements which came in force on 25th May 2018, the following consent is required before you can proceed and register for this Meeting. Please note that if you do not give consent for your details to be used by the organisers, we will not be able to contact you regarding the planning and conducting of the Meeting. As a result, you will not be able to register for the Meeting and will be re-directed back to the main website.

Data Processing Consent*

I give consent for my data to be used in planning and conduct of the Meeting including arrangements for my participation.

(e.g. passing dietary requirements to the Meeting venue)

1/5

Title*

Given Name*

Family Name*

Discipline*

Please Specify Discipline

Organisation*

Position*

Email*

Daytime Phone*

Mobile Phone

Fax Number

Primary Address

Address*

City/Suburb*

State*

Post Code*

Country*

How did you hear about this meeting*

2/5

Dietary Requirements
If you have dietary requirements (e.g. Allergy to Nuts, Gluten Free, Halal, Kosher*, Lactose Intolerant, Seafood or Shellfish Allergy, Vegan, Vegetarian, etc.), please specify. We will endeavour to cater to your needs however this may not be possible in all cases. *Please note there may be an additional charge for delegates requiring Kosher meals.

Please Specify Dietary Requirements*

Privacy and Consent
Australia operates under the Privacy Act 1988 (Cth), as amended, and the Privacy Amendment (Notifiable Data Breaches), 2017. The objective of these is to protect the right of the individual to privacy of their information.

Europe operates under the General Data Protection Regulation (GDPR) (Regulation (EU) 2016/679), a regulation in EU law on data protection and privacy for all individuals within the European Union. The GDPR aims primarily to give protection to citizens over their personal data. The legislation was adopted on 27 April 2016.

The Meeting Managers comply with these legislations and are committed to protect the right of the individual to privacy of their information.

You have the right to specify how your data may be used. Please complete each of the following four consent categories:

I consent for my data to be used in delegate lists published for delegates, exhibitors and sponsors for the Meeting*

Yes

I consent that my data may also be provided to organisers of future occurrences of this Meeting*

Yes

I consent that my data may be used to provide you with information and other relevant products, events and services in your area of interest*

Yes

Please Note:

You may withdraw your granular consent at any time by notice in writing to the Meeting Managers.
You are entitled to access the information held by written application to the Meeting Managers.

3/5

Terms and Conditions

Cancellation Policy: If notification of cancellation is made in writing to The Brain Cancer Group 2019 Registration Manager (allison@braincancergroup.com.au), prior to Friday 20 September 2019, a full refund will be provided less a AUD$100 administration processing fee. Cancellations received after this date will not be refunded, however a substitute delegate can be organised.

Delegate List: in registering for the SM relevant details will be incorporated into a delegate list for the benefit of all delegates which will include your title, name and organisation however email addresses and contact details will not be published. Other relevant details may be made available to parties directly related to the SM including venues, sponsors and key suppliers. I consent to the collection, use and disclosure of information (excludes credit card details) provided in this registration form in accordance with and for the purpose outlined above.

Photography: Registrants, speakers and guests of the SM consent to being photographed, filmed and/or recorded throughout the event. I consent to the use of any such image, film or recording being used at the discretion of The Brain Cancer Group.

Privacy: Australia operates under the Privacy Act 1988 (Cth) (Privacy Act) and the Australian Privacy Principles (APP’s). The Meeting Managers comply with such legislation which is designed to protect the right of the individual to privacy of their information. Information collected in respect of proposed participation in any aspect of the Meeting will be used for the purposes of planning and conduct of the Meeting; in the Delegate List published for the Meeting; may also be provided to organisers of future events; or used to provide you with information of other relevant events.

TERMS AND CONDITIONS*

I HAVE READ, UNDERSTOOD AND AGREE TO THE TERMS AND CONDITIONS.

4/5

Payment options*

Clinician $200 AUD

Non Clinician (Allied Health) $120 AUD

Amount Payable

Would you like your contact details added to The Brain Cancer Group database?*

Yes

The Brain Cancer Group uses PayPal for donations and event registrations.PayPal allows secure payment with your PayPal account OR credit card.You will be redirected to PayPal to finalise your registration when checking out and return to our website after payment.

5/5

The Brain Cancer Group Inaugural Scientific Meeting – 27 October 2019

“APPLYING ADVANCED IMAGING TO NEURO-ONCOLOGY”International Convention Centre Sydney, Australia.

Registration Fee:Clinician $200 AUD | Non-Clinician (Allied Health) $120 AUD

“APPLYING ADVANCED IMAGING TO NEURO-ONCOLOGY”
International Convention Centre Sydney, Australia.

Registration Fee:
Clinician $200 AUD | Non-Clinician (Allied Health) $120 AUD