Workshop Registration

About You
Title
First name(s)*
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Dietary requirements (please detail)
Any accessibility or support requirements (please detail)
If you would like to discuss your requirements, please email: visualisations@warwick.ac.uk or telephone Julie Palmer: +44 (0)2476 573895
About Your Workshop
Select which workshop(s) you would like to attend (you may choose more than one)*	Anatomical Bodies: 13th – 14th April 2010 Diagnostic Radiology: 26th – 27th January 2010 Virtual Reality: 24th – 25th May 2010 3D Foetal Ultrasound: 6th – 7th July 2010
Where did you hear about the workshop*
How do your research interests relate to the workshop theme (500 word limit). Please note this summary will be shared with other workshop participants*
Do you want to apply for funding to attend the workshop
Declaration	I confirm that I do not have an alternative source of funding to attend this workshop
Information about funded places can be found here: http://www2.warwick.ac.uk/fac/med/research/hsri/research/visualisation/biomedvisualisations/fundedplaces/
Every effort will be made to confirm your place within 7-10 days
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Privacy statement	This form will be used to manage attendance at a course. Your attendance at the course will be recorded and associated with your name. The data you provide is used solely to help us improve the delivery of our courses.

WMS » Health Sciences Research Institute

Workshop Registration