KetoCollege UK 2026 Booking Form

Registration

Book your place on the course

More Details

Accommodation & Travel

Preferential rates available

More Details

Venue: The Felbridge – Gatwick Hotel (formerly Crowne Plaza Felbridge Hotel)

London Road, East Grinstead, West Sussex, RH19 2BH

ADVANCE DELEGATE FEES

Course Option	Early Bird	After Early Bird (from 01 February)
3 Days	£495	£585
2 Days (Days 1 & 2)	£395	£485
Foundation Session	£140	£140
Foundation + Advance Days 1 & 2	£525	£615
Foundation + Advance Days 1, 2 & 3	£625	£725

Early bird fee is available up to and including 31^st January 2026

Registration fee includes lunch & refreshments for all days + KetoCollege Dinner Tuesday 12^th May 7pm

Registrations are welcome from allied medical health professionals currently working with or looking to expand their knowledge of Ketogenic Dietary Therapies.

Dates:

Day 1 – Tuesday 12^th May 2026
Day 2 – Wednesday 13^th May 2026
Day 3 – Thursday 14^th May 2026

FOUNDATION SESSION DELEGATE FEE

Registered Dietitians/Dietetic Assistants only

Monday 11^th May – 12.30 – 17.45 / £140

Please Note – Registration fees do not include hotel accommodation.

Please make your bookings as soon as possible as places are limited. We cannot guarantee places until receipt of booking and payment have been received. Registration may close without notification.

Options

Please indicate the option you require on the form to the right:

3 days Advance – £495
2 days Advance – £395 (Days 1 & 2)
Foundation only – £140
Foundation + Advance Days 1 and 2 – £525 (saves £10)
Foundation + Advance Days 1, 2 and 3 – £625 (saves £10)

Please make your bookings as soon as possible as places are limited. We cannot guarantee places until receipt of booking and payment have been received. Registration may close without notification.

Method of Payment

If you wish to pay with a credit/debit card, please use the Pay Online option. Payments are made via PayPal. You DO NOT need to have a PayPal account to use this option.

If you wish to pay via bank transfer or invoice (hospitals/institutions only may request invoices), please use the Pay Offline option. Bank details for transfer purposes will be shown on the invoice. An invoice address and a purchase order number/reference will be required.

Receipts may be issued. Please request these from info@ketocollege.co.uk.

Contact Details

Email: info@ketocollege.co.uk
Tel: +44 (0) 1342 836571
Mob: +44 (0) 7748 800438
Address: KetoCollege Ltd, St Piers Lane, Lingfield, Surrey RH7 6PW. England UK

Cancellations

Delegate fees are refundable subject to a £35 admin fee and any applicable bank charges sustained up to 14 days prior to the start of the meeting.

After that time we are unable to offer any refunds. Registrations may be transferred to another name, up to 3 days prior to the meeting.

After that time we are unable to offer registration transfers.

Confirmations will be sent upon receipt of the completed booking form and payment.

Delegate places are not confirmed until full payment is received.

Terms & Conditions

Booking Form

Payment Method

If making an immediate payment with a credit/debit card via PayPal (You DO NOT need a PayPal account to use this option) please select:

If you are paying via bank transfer and/or require an invoice, please select:

Please note: if you have a discount code please select the ‘Pay Offline’ option

Offline Booking Form

Option Required*

Number of delegates*

Delegate 1 Details:

Title (ie Dr/Prof/Mr/Mrs)*

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address*

Please advise any special dietary requirements or allergies.

How many years have you been working in Ketogenic Therapies?*

Please indicate your interest in joining the Foundations session, including your current role:*

Delegate 1 Details:

Title (ie Dr/Prof/Mr/Mrs)*

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address*

Please advise any special dietary requirements or allergies.

How many years have you been working in Ketogenic Therapies?*

Please indicate your interest in joining the Foundations session, including your current role:*

Delegate 2 Details:

Title (ie Dr/Prof/Mr/Mrs)*

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address*

Please advise any special dietary requirements or allergies.

How many years have you been working in Ketogenic Therapies?*

Please indicate your interest in joining the Foundations session, including your current role:*

Delegate 1 Details:

Title (ie Dr/Prof/Mr/Mrs)*

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address*

Please advise any special dietary requirements or allergies.

How many years have you been working in Ketogenic Therapies?*br />

Please indicate your interest in joining the Foundations session, including your current role:*

Delegate 2 Details:

Title (ie Dr/Prof/Mr/Mrs)*

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address*

Please advise any special dietary requirements or allergies.

How many years have you been working in Ketogenic Therapies?*

Please indicate your interest in joining the Foundations session, including your current role:*

Delegate 3 Details:

Title (ie Dr/Prof/Mr/Mrs)*

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address*

Please advise any special dietary requirements or allergies.

How many years have you been working in Ketogenic Therapies?*

Please indicate your interest in joining the Foundations session, including your current role:*

Delegate 1 Details:

Title (ie Dr/Prof/Mr/Mrs)*

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address*

Please advise any special dietary requirements or allergies.

How many years have you been working in Ketogenic Therapies?*

Please indicate your interest in joining the Foundations session, including your current role:*

Delegate 2 Details:

Title (ie Dr/Prof/Mr/Mrs)*

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address*

Please advise any special dietary requirements or allergies.

How many years have you been working in Ketogenic Therapies?*

Please indicate your interest in joining the Foundations session, including your current role:*

Delegate 3 Details:

Title (ie Dr/Prof/Mr/Mrs)*

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address*

Please advise any special dietary requirements or allergies.

How many years have you been working in Ketogenic Therapies?*

Please indicate your interest in joining the Foundations session, including your current role:*

Delegate 4 Details:

Title (ie Dr/Prof/Mr/Mrs)*

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address*

Please advise any special dietary requirements or allergies.

How many years have you been working in Ketogenic Therapies?*

Please indicate your interest in joining the Foundations session, including your current role:*

Delegate 1 Details:

Title (ie Dr/Prof/Mr/Mrs)*

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address*

Please advise any special dietary requirements or allergies.

How many years have you been working in Ketogenic Therapies?*

Please indicate your interest in joining the Foundations session, including your current role:*

Delegate 2 Details:

Title (ie Dr/Prof/Mr/Mrs)*

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address*

Please advise any special dietary requirements or allergies.

How many years have you been working in Ketogenic Therapies?*

Please indicate your interest in joining the Foundations session, including your current role:*

Delegate 3 Details:

Title (ie Dr/Prof/Mr/Mrs)*

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address*

Please advise any special dietary requirements or allergies.

How many years have you been working in Ketogenic Therapies?*

Please indicate your interest in joining the Foundations session, including your current role:*

Delegate 4 Details:

Title (ie Dr/Prof/Mr/Mrs)*

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address*

Please advise any special dietary requirements or allergies.

How many years have you been working in Ketogenic Therapies?*

Please indicate your interest in joining the Foundations session, including your current role:*

Delegate 5 Details:

Title (ie Dr/Prof/Mr/Mrs)*

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address*

Please advise any special dietary requirements or allergies.

How many years have you been working in Ketogenic Therapies?*

Please indicate your interest in joining the Foundations session, including your current role:*

Delegate 1 Details:

Title (ie Dr/Prof/Mr/Mrs)*

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address*

Please advise any special dietary requirements or allergies.

How many years have you been working in Ketogenic Therapies?*

Please indicate your interest in joining the Foundations session, including your current role:*

Delegate 2 Details:

Title (ie Dr/Prof/Mr/Mrs)*

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address*

Please advise any special dietary requirements or allergies.

How many years have you been working in Ketogenic Therapies?*

Please indicate your interest in joining the Foundations session, including your current role:*

Delegate 3 Details:

Title (ie Dr/Prof/Mr/Mrs)*

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address*

Please advise any special dietary requirements or allergies.

How many years have you been working in Ketogenic Therapies?*

Please indicate your interest in joining the Foundations session, including your current role:*

Delegate 4 Details:

Title (ie Dr/Prof/Mr/Mrs)*

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address*

Please advise any special dietary requirements or allergies.

How many years have you been working in Ketogenic Therapies?*

Please indicate your interest in joining the Foundations session, including your current role:*

Delegate 5 Details:

Title (ie Dr/Prof/Mr/Mrs)*

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address*

Please advise any special dietary requirements or allergies.

How many years have you been working in Ketogenic Therapies?*

Please indicate your interest in joining the Foundations session, including your current role:*

Delegate 6 Details:

Title (ie Dr/Prof/Mr/Mrs)*

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address*

Please advise any special dietary requirements or allergies.

How many years have you been working in Ketogenic Therapies?*

Please indicate your interest in joining the Foundations session, including your current role:*

Delegate 1 Details:

Title (ie Dr/Prof/Mr/Mrs)*

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address*

Please advise any special dietary requirements or allergies.

How many years have you been working in Ketogenic Therapies?*

Please indicate your interest in joining the Foundations session, including your current role:*

Delegate 2 Details:

Title (ie Dr/Prof/Mr/Mrs)*

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address*

Please advise any special dietary requirements or allergies.

How many years have you been working in Ketogenic Therapies?*

Please indicate your interest in joining the Foundations session, including your current role:*

Delegate 3 Details:

Title (ie Dr/Prof/Mr/Mrs)*

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address*

Please advise any special dietary requirements or allergies.

How many years have you been working in Ketogenic Therapies?*

Please indicate your interest in joining the Foundations session, including your current role:*

Delegate 4 Details:

Title (ie Dr/Prof/Mr/Mrs)*

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address*

Please advise any special dietary requirements or allergies.

How many years have you been working in Ketogenic Therapies?*

Please indicate your interest in joining the Foundations session, including your current role:*

Delegate 5 Details:

Title (ie Dr/Prof/Mr/Mrs)*

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address*

Please advise any special dietary requirements or allergies.

How many years have you been working in Ketogenic Therapies?*

Please indicate your interest in joining the Foundations session, including your current role:*

Delegate 6 Details:

Title (ie Dr/Prof/Mr/Mrs)*

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address*

Please advise any special dietary requirements or allergies.

How many years have you been working in Ketogenic Therapies?*

Please indicate your interest in joining the Foundations session, including your current role:*

Delegate 7 Details:

Title (ie Dr/Prof/Mr/Mrs)*

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address*

Please advise any special dietary requirements or allergies.

How many years have you been working in Ketogenic Therapies?*

Please indicate your interest in joining the Foundations session, including your current role:*

Delegate 1 Details:

Title (ie Dr/Prof/Mr/Mrs)*

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address*

Please advise any special dietary requirements or allergies.

How many years have you been working in Ketogenic Therapies?*

Please indicate your interest in joining the Foundations session, including your current role:*

Delegate 2 Details:

Title (ie Dr/Prof/Mr/Mrs)*

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address*

Please advise any special dietary requirements or allergies.

How many years have you been working in Ketogenic Therapies?*

Please indicate your interest in joining the Foundations session, including your current role:*

Delegate 3 Details:

Title (ie Dr/Prof/Mr/Mrs)*

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address*

Please advise any special dietary requirements or allergies.

How many years have you been working in Ketogenic Therapies?*

Please indicate your interest in joining the Foundations session, including your current role:*

Delegate 4 Details:

Title (ie Dr/Prof/Mr/Mrs)*

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address*

Please advise any special dietary requirements or allergies.

How many years have you been working in Ketogenic Therapies?*

Please indicate your interest in joining the Foundations session, including your current role:*

Delegate 5 Details:

Title (ie Dr/Prof/Mr/Mrs)*

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address*

Please advise any special dietary requirements or allergies.

How many years have you been working in Ketogenic Therapies?*

Please indicate your interest in joining the Foundations session, including your current role:*

Delegate 6 Details:

Title (ie Dr/Prof/Mr/Mrs)*

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address*

Please advise any special dietary requirements or allergies.

How many years have you been working in Ketogenic Therapies?*

Please indicate your interest in joining the Foundations session, including your current role:*

Delegate 7 Details:

Title (ie Dr/Prof/Mr/Mrs)*

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address*

Please advise any special dietary requirements or allergies.

How many years have you been working in Ketogenic Therapies?*

Please indicate your interest in joining the Foundations session, including your current role:*

Delegate 8 Details:

Title (ie Dr/Prof/Mr/Mrs)*

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address*

Please advise any special dietary requirements or allergies.

How many years have you been working in Ketogenic Therapies?*

Please indicate your interest in joining the Foundations session, including your current role:*

Business Phone

Email address for invoice

Method of Payment:

Enter Discount Code here (leave blank if you don’t have one)

I understand and accept the booking Terms & Conditions

Matthew’s Friends KetoCollege do not share your details with anyone, without your express permission. If you are happy to be contacted directly by the sponsors of KetoCollege, please click here. If you do not wish to be contacted please leave blank.

Please Note - There may be a slight delay after clicking the submit button but the submission is confirmed. Please only click the send/submit button once

Online Booking Form

Option Required**

Number of delegates*

Delegate 1 Details:

Title (ie Dr/Prof/Mr/Mrs)*

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address*

Please advise any special dietary requirements or allergies.

How many years have you been working in Ketogenic Therapies?*

Please indicate your interest in joining the Foundations session, including your current role:*

Delegate 1 Details:

Title (ie Dr/Prof/Mr/Mrs)*

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address*

Please advise any special dietary requirements or allergies.

How many years have you been working in Ketogenic Therapies?*

Please indicate your interest in joining the Foundations session, including your current role:*

Delegate 2 Details:

Title (ie Dr/Prof/Mr/Mrs)*

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address*

Please advise any special dietary requirements or allergies.

How many years have you been working in Ketogenic Therapies?*

Please indicate your interest in joining the Foundations session, including your current role:*

Delegate 1 Details:

Title (ie Dr/Prof/Mr/Mrs)*

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address*

Please advise any special dietary requirements or allergies.

How many years have you been working in Ketogenic Therapies?*

Please indicate your interest in joining the Foundations session, including your current role:*

Delegate 2 Details:

Title (ie Dr/Prof/Mr/Mrs)*

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address*

Please advise any special dietary requirements or allergies.

How many years have you been working in Ketogenic Therapies?*

Please indicate your interest in joining the Foundations session, including your current role:*

Delegate 3 Details:

Title (ie Dr/Prof/Mr/Mrs)*

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address*

Please advise any special dietary requirements or allergies.

How many years have you been working in Ketogenic Therapies?*

Please indicate your interest in joining the Foundations session, including your current role:*

Delegate 1 Details:

Title (ie Dr/Prof/Mr/Mrs)*

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address*

Please advise any special dietary requirements or allergies.

How many years have you been working in Ketogenic Therapies?*

Please indicate your interest in joining the Foundations session, including your current role:*

Delegate 2 Details:

Title (ie Dr/Prof/Mr/Mrs)*

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address*

Please advise any special dietary requirements or allergies.

How many years have you been working in Ketogenic Therapies?*

Please indicate your interest in joining the Foundations session, including your current role:*

Delegate 3 Details:

Title (ie Dr/Prof/Mr/Mrs)*

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address*

Please advise any special dietary requirements or allergies.

How many years have you been working in Ketogenic Therapies?*

Please indicate your interest in joining the Foundations session, including your current role:*

Delegate 4 Details:

Title (ie Dr/Prof/Mr/Mrs)*

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address*

Please advise any special dietary requirements or allergies.

How many years have you been working in Ketogenic Therapies?*

Please indicate your interest in joining the Foundations session, including your current role:*

Delegate 1 Details:

Title (ie Dr/Prof/Mr/Mrs)*

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address*

Please advise any special dietary requirements or allergies.

How many years have you been working in Ketogenic Therapies?*

Please indicate your interest in joining the Foundations session, including your current role:*

Delegate 2 Details:

Title (ie Dr/Prof/Mr/Mrs)*

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address*

Please advise any special dietary requirements or allergies.

How many years have you been working in Ketogenic Therapies?*

Please indicate your interest in joining the Foundations session, including your current role:*

Delegate 3 Details:

Title (ie Dr/Prof/Mr/Mrs)*

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address*

Please advise any special dietary requirements or allergies.

How many years have you been working in Ketogenic Therapies?*

Please indicate your interest in joining the Foundations session, including your current role:*

Delegate 4 Details:

Title (ie Dr/Prof/Mr/Mrs)*

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address*

Please advise any special dietary requirements or allergies.

How many years have you been working in Ketogenic Therapies?*

Please indicate your interest in joining the Foundations session, including your current role:*

Delegate 5 Details:

Title (ie Dr/Prof/Mr/Mrs)*

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address*

Please advise any special dietary requirements or allergies.

How many years have you been working in Ketogenic Therapies?*

Please indicate your interest in joining the Foundations session, including your current role:*

Delegate 1 Details:

Title (ie Dr/Prof/Mr/Mrs)*

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address*

Please advise any special dietary requirements or allergies.

How many years have you been working in Ketogenic Therapies?*

Please indicate your interest in joining the Foundations session, including your current role:*

Delegate 2 Details:

Title (ie Dr/Prof/Mr/Mrs)*

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address*

Please advise any special dietary requirements or allergies.

How many years have you been working in Ketogenic Therapies?*

Please indicate your interest in joining the Foundations session, including your current role:*

Delegate 3 Details:

Title (ie Dr/Prof/Mr/Mrs)*

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address*

Please advise any special dietary requirements or allergies.

How many years have you been working in Ketogenic Therapies?*

Please indicate your interest in joining the Foundations session, including your current role:*

Delegate 4 Details:

Title (ie Dr/Prof/Mr/Mrs)*

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address*

Please advise any special dietary requirements or allergies.

How many years have you been working in Ketogenic Therapies?*

Please indicate your interest in joining the Foundations session, including your current role:*

Delegate 5 Details:

Title (ie Dr/Prof/Mr/Mrs)*

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address*

Please advise any special dietary requirements or allergies.

How many years have you been working in Ketogenic Therapies?*

Please indicate your interest in joining the Foundations session, including your current role:*

Delegate 6 Details:

Title (ie Dr/Prof/Mr/Mrs)*

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address*

Please advise any special dietary requirements or allergies.

How many years have you been working in Ketogenic Therapies?*

Please indicate your interest in joining the Foundations session, including your current role:*

Delegate 1 Details:

Title (ie Dr/Prof/Mr/Mrs)*

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address*

Please advise any special dietary requirements or allergies.

How many years have you been working in Ketogenic Therapies?*

Please indicate your interest in joining the Foundations session, including your current role:*

Delegate 2 Details:

Title (ie Dr/Prof/Mr/Mrs)*

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address*

Please advise any special dietary requirements or allergies.

How many years have you been working in Ketogenic Therapies?*

Please indicate your interest in joining the Foundations session, including your current role:*

Delegate 3 Details:

Title (ie Dr/Prof/Mr/Mrs)*

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address*

Please advise any special dietary requirements or allergies.

How many years have you been working in Ketogenic Therapies?*

Please indicate your interest in joining the Foundations session, including your current role:*

Delegate 4 Details:

Title (ie Dr/Prof/Mr/Mrs)*

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address*

Please advise any special dietary requirements or allergies.

How many years have you been working in Ketogenic Therapies?*

Please indicate your interest in joining the Foundations session, including your current role:*

Delegate 5 Details:

Title (ie Dr/Prof/Mr/Mrs)*

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address*

Please advise any special dietary requirements or allergies.

How many years have you been working in Ketogenic Therapies?*

Please indicate your interest in joining the Foundations session, including your current role:*

Delegate 6 Details:

Title (ie Dr/Prof/Mr/Mrs)*

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address*

Please advise any special dietary requirements or allergies.

How many years have you been working in Ketogenic Therapies?*

Please indicate your interest in joining the Foundations session, including your current role:*

Delegate 7 Details:

Title (ie Dr/Prof/Mr/Mrs)*

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address*

Please advise any special dietary requirements or allergies.

How many years have you been working in Ketogenic Therapies?*

Please indicate your interest in joining the Foundations session, including your current role:*

Delegate 1 Details:

Title (ie Dr/Prof/Mr/Mrs)*

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address*

Please advise any special dietary requirements or allergies.

How many years have you been working in Ketogenic Therapies?*

Please indicate your interest in joining the Foundations session, including your current role:*

Delegate 2 Details:

Title (ie Dr/Prof/Mr/Mrs)*

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address*

Please advise any special dietary requirements or allergies.

How many years have you been working in Ketogenic Therapies?*

Please indicate your interest in joining the Foundations session, including your current role:*

Delegate 3 Details:

Title (ie Dr/Prof/Mr/Mrs)*

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address*

Please advise any special dietary requirements or allergies.

How many years have you been working in Ketogenic Therapies?*

Please indicate your interest in joining the Foundations session, including your current role:*

Delegate 4 Details:

Title (ie Dr/Prof/Mr/Mrs)*

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address*

Please advise any special dietary requirements or allergies.

How many years have you been working in Ketogenic Therapies?*

Please indicate your interest in joining the Foundations session, including your current role:*

Delegate 5 Details:

Title (ie Dr/Prof/Mr/Mrs)*

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address*

Please advise any special dietary requirements or allergies.

How many years have you been working in Ketogenic Therapies?*

Please indicate your interest in joining the Foundations session, including your current role:*

Delegate 6 Details:

Title (ie Dr/Prof/Mr/Mrs)*

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address*

Please advise any special dietary requirements or allergies.

How many years have you been working in Ketogenic Therapies?*

Please indicate your interest in joining the Foundations session, including your current role:*

Delegate 7 Details:

Title (ie Dr/Prof/Mr/Mrs)*

First Name* (required)

Surname*

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