Registration Form – Annual SHOT Symposium 2025 Friday 11 July 2025Hilton Birmingham Metropole Hotel | Birmingham | B40 1PP There is a subsidised ‘Early Bird’ fee of £120 person (strictly non-refundable) to cover catering and hire charges. Early bird rates apply to any registrations where payment is received by Friday 30th May 2025 thereafter the delegates fee will be £140 per person.Please note the delegate fee has been kept as low as possible, and to maintain this, payment must be made in advance by credit/debit card ONLY. And is strictly non-refundable. A payment link will be sent to delegates on receipt of your application form. Symposium registrationTITLE, NAME & JOB TITLE will appear on both your delegate badge and the delegate list. If you wish to opt out of having your details included on the delegate list you must advise us accordingly.Email(Required) An email address we can get back to you onTitle(Required)Please selectMrMrsMissMsDrProfOtherIncluded on delegate badge and listFirst name(Required)Included on delegate badge and listLast name(Required)Included on delegate badge and listJob title(Required)Included on delegate badge and listHospital, Trust, Health Board or Company Name(Required)Included on delegate badge and listPhone(Required)A phone number we can contact you onType of delegate(Required) Standard delegate SHOT Steering Group or Working Expert Group member Speaker/Moderator Bursary Abstract presenter Please indicate if you require any special facilities (wheelchair access, etc) and someone will contact you to discuss your specific requirements(Required) Yes No Please indicate if you have any special dietary requirements(Required) Yes No Please define your requirements(Required)Please indicate if you have any food allergies or intolerances(Required) Yes No Please define your requirements(Required)If you require any assistance completing this form or have any queries, please contact the SHOT Office Telephone: 0161 423 4208 | Email: [email protected]Data Processing Consent Why do we ask for you consent? The GDPR defines ‘Personal Data’ to mean any information relating to an identified or identifiable natural person. SHOT are committed to protecting the privacy of any personal data you provide during your registration. The following statements describe what we do with your data and how long we store it, so that you are fully informed prior to registering. Why are we processing your personal data? We ask for your personal data to be able to process your registration for the SHOT Symposium. This information will be used for communication and updates about the Symposium, dietary or special requirements and delegates badges. Third parties that require access to your data It is necessary for a third party organisation to access some of your personal data for the purposes of creating delegate badges, and to produce delegate lists for registration on the day of the Symposium How long will we store your personal data? Your personal data will be retained by us for up to 12 months after the SHOT Symposium 2025 at which point all personal data will be deleted The right to forget or anonymise your personal details You have the right to request that we forget or anonymise your personal data. If you have attended our event, we will retain event attendee records for reporting purposes, but will remove all personal data from our database, leaving an ‘anonymous’ record.Privacy(Required) I can confirm that I have read, understood and accept the privacy policy. Consent(Required) I agree to give consent for SHOT to process my data Sponsors and exhibitors consent(Required) I agree to share my details with sponsors and exhibitors I do not agree to share my details with sponsors and exhibitors
