/ REGISTRATION FORM
EDINBURGH SLEEP COURSE
13th – 17thMarch 2017
Pollock Halls of Residence, University of Edinburgh
(Please ensure all sections are completed) /

REGISTRATION FORM (Delegates) - (Please complete in capital letters)

Mr Ms Mrs  Dr  Prof 

First name......

Last name......

Contact Address......

......

......

Post code......

Telephone...... Fax.......

Email......

Job title……………………………………………………

Details for conference badge

Name......

Level of competence for polysomnography (EEG) workshop

Beginner Intermediate Advanced

(no knowledge) (little knowledge, no scoring ability) (scoring experience)

 

We are holding our scoring workshop on Wednesday 15th March. We would encourage you, if at all possible, to bring your laptop to this workshop. This will allow us to download a 30 day trial of free software of the compumedics scoring software.

The laptops require to have Windows Operating System (Mac’s OS X not supported)

OS: Windows XP, Windows 7 or Windows 8 (32 or 64 bits OK)

Any processor running the above Windows Operating system will be fine (Intel Core, etc.)
Memory: 2GB or more

Enough Space on hard drive for programs (less than 400 MB) and example data (depending on studies used but around 1.5 GB)

Important: we might need to apply exclusions for CMP software to your security software (Antivirus, etc.) for the program and drivers to install and we need Administrator Privileges for software installation.

Please do not be concerned if you do not have a laptop - they will be provided for the duration of the workshop if required.

I will be bringing my own laptop Yes No 

Conference Fees(includes morning coffees, lunch, afternoon tea and the Conference Dinner on

Wednesday 15thMarch)

Clinicians and Industry Allied Health Professionals Transition Economies

(nurses, physiologists, other care workers)

£1000£800 £600 

I will attend the conference Dinner Yes No 

Dietary Needs(required for the lunches and the conference Dinner)

Yes (please state requirements in the box below) No 

Accommodation(B&B in Masson House – single occupancy (this is not student accommodation) –

masson-house

Sun12thMon 13th Tues 14th Wed 15th Thurs 16th Fri 17th

£70 £70  £70  £70  £70 £70 

Payment total(including course fee and accommodation) £………….

Payment Options

Cheque (made payable to University of Edinburgh)

Credit Card / Debit Card (please email for details)

Bank Transfer (please email for details)

Please complete your requirements above and send / email to:

Dr Renata RihaEmail: Lisa Wood

Department of Sleep Medicine

51 Little France Crescent

Edinburgh EH16 4SA

Terms and conditions

Payment: The number of spaces on this course is limited and on a first come first served basis, therefore prompt payment is necessary to reserve a place. Please ensure that a place is available before making online payments.

Cancellation/Refunds: A refund, less 20% administration fee, will be made if cancellations are received, in writing, at least 2 weeks before the course. We regret any cancellations after this time cannot be refunded, and that refunds for failure to attend the course cannot be made. However, substitute delegates are welcome at any time by contacting us.