Samaritans Irish Regional Conference 2024

The Grand Hotel, Malahide

Friday September 6th to Sunday September 8th 2024

 

BOOKING FORM

NB: Accommodation must be arranged separately by the delegates, either with the hotel (at a special delegate rate) or other location, if so required.

 
First Name is required Last Name is required
Email Address is required Phone Number is required

Branch is required Samaritans Name & Number is required
Emergency Contact Name is required Emergency Contact Number is required

Attending Drinks Reception (Friday evening 8pm) is required Any special dietary needs (Lunch/Dinner Saturday) is required Select Package is required

Workshops

Please select your preference of which Saturday workshops you would like to attend (one in the morning and one in the afternoon). Choose from 1 to 5 [1 being the one you'd most prefer to attend and 5 being the one you'd least prefer to attend].

 

1)
2)
3)
4)
5)
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