Lunch & Learn - Advanced Palliative Care Practice

Lunch and Learn: Advanced Palliative Care Practice - registration form

January 2027 - November 2027
The Lunch and Learn - Advanced Palliative Care Practice information sessions, via Zoom, will run from January 2027 until November 2027

Registration for the Lunch and Learn series costs £50 per person. This provides access to all sessions within the series, either via the live teaching sessions on Zoom, or the emailed recordings and resources to view on demand up to 30 days after the live session.

If you would like to register for these sessions, you will need to complete this registration form, even if you have previously registered for a lunch and learn series with us.

You can register up to 4 people using this form. For bulk registrations of 5 or more, please email education@pah.org.uk and we will discuss your requirements with you.

Links to each training session via Zoom will be sent out up to 1 week before the training date.

For a full list of session dates, times, and topics, please see our website here:

Please note:
- These sessions are planned with local (to Princess Alice Hospice - KT10 8NA) clinical practitioners in mind, whilst those further afield are welcome - please refer to contacts in your own local area for accurate information that might be relevant to your practice.
- These training sessions will be recorded and links to view the recording will be available to view 1 month after the session. The link to the recording will be sent with the resources from the session to all those registered. If you do not wish to be recorded, you have the choice of non attendance and viewing the session via the recording.
  
  For information on all the latest courses Princess Alice Hospice is running please head to our website - www.pah.org.uk/book

Personal Details

As the person booking the lunch and learn series, please provide your details below as you will be our point of contact. You will be able to add additional attendees (if required and selected) at the next stage of the form.
Are you a Princess Alice Hospice Staff Member or Volunteer?
Name

PrefixFirst NameLast Name
Workplace / Academic Organisation Name (If applicable)
Workplace / Academic Organisation Address (If not relevant, please provide home address)

Street Address

Street Address Line 2

City/TownCounty

Postal / Zip CodeCountry
Post Code
Email
example@example.com
Department
Position held
Other
Attendees

You can book up to 4 people onto the Lunch and Learn Series. If you are booking for 5 or more people please email education@pah.org.uk so we can discuss your requirements.
Who are you booking this course for?
PAH Staff / Volunteer can only use the 'Myself' Option

Course attendee 1

Please enter the attendee details below.
Name

PrefixFirst NameLast Name
Position held
Other
Attendee email address
example@example.com
Additional Attendees

You can book up to 4 people onto the Lunch and Learn Series. If you are booking for 5 or more people please email education@pah.org.uk so we can discuss your requirements.
Would you like to register any other attendees?

Course attendee 2

Please enter the attendee details below.
Name

PrefixFirst NameLast Name
Position held
Other
Attendee email address
example@example.com
Would you like to register any other attendees?

Course attendee 3

Please enter the attendee details below.
Name

PrefixFirst NameLast Name
Position held
Other
Attendee email address
example@example.com
Would you like to register any other attendees?

Course attendee 4

Please enter the attendee details below.
Name

PrefixFirst NameLast Name
Position held
Other
Attendee email address
example@example.com

Consent

Please read and acknowledge the below statements
Please confirm you are aware that each training session will be recorded and that you have authority, on behalf of all you are registering, to provide consent for being part of a recorded zoom session should you attend the live training event.
Before proceeding to provide payment or invoice details, please review our terms and conditions of booking and then tick the box to acknowledge your agreement of these terms.

Self‑funding applicants are welcome to contact us (education@pah.org.uk) to explore the option of paying fees in scheduled instalments.
Total Fee
I would like to pay
Payment Fee

Payment by Invoice

If you are unable to pay online, please request an invoice here. Please enter all invoice details including organisation name, address, and a contact in the finance department.
Name

PrefixFirst NameLast Name
Phone Number
Email
example@example.com
Organisation
Department
Job Title
Address for Correspondence

Address Line 1

Address Line 2

Town / CityCounty

Post codeCountry
PO number. Please note that we require a PO or reference number for ALL invoices. If one cannot be provided we require your finance department email address here. Please contact education@pah.org.uk if you would like to discuss

Online Payment

Your payment will be processed by Stripe who use the strictest payment processing procedures and has been audited and certified to PCI Service Provider Level 1.

Payment Amount

GBPDescription

Debit or Credit Card
Credit Card Number	Security Code
Expiration Month	Expiration Year

Where did you hear about the Lunch and Learn programme?
Other
Keeping in touch

We would like to be able to keep you informed about our education services, but if we don’t have your permission, we cannot get in touch with you to share regular updates about education sessions/study days and our prospectus.
Would you like to hear from the EDUCATION department by EMAIL?
Would you like to hear from the EDUCATION department by POST?
If you would also like us to share our LATEST NEWS, CAMPAIGNS and INFORMATION using the methods of communication you have said yes to above, please confirm here:
Rest assured, we never share, swap, rent or sell our customers’ details to other charities or third parties for marketing purposes. You can read how we manage and respect your data in our Education Customer Privacy Notice at www.pah.org.uk/privacy

If you’d like to change your permissions at any time please contact our Education Team on 01372 461988 or education@pah.org.uk
Confirm Booking

If you are happy to proceed with your booking please use the submit button below.
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