UK 2022 Booking Form Private

KetoCollege UK 2022 Booking Form

Date: 24^th 25^th 26^th May 2022

Registration for KetoCollege closes Friday 20th May 1600 BST

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

KETOCOLLEGE 2022 IS VIRTUAL AGAIN!

Due to the ongoing COVID-19 pandemic, the full KetoCollege programme will be held virtually.

The KetoCollege team and our expert guest Mentors look forward to welcoming you to our advanced CPD 3-day course for new and refresher Ketogenic Therapy learning.

Bursary applications are open until 7th March 2022.

Options

Please indicate the option you require on the form on the left:

Rates from 1^st May 2022

Full 3 day registration £395

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.

Delegates from Low Income Countries will receive a 20% discount off the registration fee.

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), see below:

BACS payments may be made to:

HSBC OXTED
Account Name: ‘Matthew’s Friends Clinics Ltd’
Sort Code: 40-35-40 Account Number: 21478451
BIC: HBUKGB4148L
IBAN: GB61HBUK40354021478451
Please quote ‘KC22UK’ + delegate name

Invoices may be issued. Please request these from ketocollege@mfclinics.com advising invoice address and purchase order number/reference

Contact Details

Email: j.fountain@mfclinics.com
Tele: +44 (0) 1342 836571
Mob: +44 (0) 7748 800438
Address: Matthew’s Friends, St Piers Lane, Lingfield, Surrey RH7 6PW. England UK

Terms & Conditions & Cancellations

Terms & Conditions are available by clicking the button below:

Terms & Conditions

Privacy Policy

Booking Form

Payment Method

Would you like to pay online now with a credit/debit card via Paypal (no account is required) OR pay offline via BACS or invoice?

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

Offline Booking Form

Option Required*

Are you from a low income country? (click here for list)*

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 for online access*

Delegate 1 Details:

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

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address for online access*

Delegate 2 Details:

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

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address for online access*

Delegate 1 Details:

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

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address for online access*

Delegate 2 Details:

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

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address for online access*

Delegate 3 Details:

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

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address for online access*

Delegate 1 Details:

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

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address for online access*

Delegate 2 Details:

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

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address for online access*

Delegate 3 Details:

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

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address for online access*

Delegate 4 Details:

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

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address for online access*

Delegate 1 Details:

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

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address for online access*

Delegate 2 Details:

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

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address for online access*

Delegate 3 Details:

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

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address for online access*

Delegate 4 Details:

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

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address for online access*

Delegate 5 Details:

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

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address for online access*

Delegate 1 Details:

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

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address for online access*

Delegate 2 Details:

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

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address for online access*

Delegate 3 Details:

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

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address for online access*

Delegate 4 Details:

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

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address for online access*

Delegate 5 Details:

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

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address for online access*

Delegate 6 Details:

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

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address for online access*

Delegate 1 Details:

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

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address for online access*

Delegate 2 Details:

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

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address for online access*

Delegate 3 Details:

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

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address for online access*

Delegate 4 Details:

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

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address for online access*

Delegate 5 Details:

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

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address for online access*

Delegate 6 Details:

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

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address for online access*

Delegate 7 Details:

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

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address for online access*

Delegate 1 Details:

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

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address for online access*

Delegate 2 Details:

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

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address for online access*

Delegate 3 Details:

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

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address for online access*

Delegate 4 Details:

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

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address for online access*

Delegate 5 Details:

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

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address for online access*

Delegate 6 Details:

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

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address for online access*

Delegate 7 Details:

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

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address for online access*

Delegate 8 Details:

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

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address for online access*

Business Phone

Email address for invoice

Please indicate your method of payment: Credit Card / BACS / Invoice

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

I understand and accept the booking Terms & Conditions

Matthew’s Friends Clinics 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.

Online Booking Form

Option Required*

Are you from a low income country? (click here for list)*

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 for online access*

Delegate 1 Details:

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

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address for online access*

Delegate 2 Details:

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

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address for online access*

Delegate 1 Details:

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

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address for online access*

Delegate 2 Details:

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

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address for online access*

Delegate 3 Details:

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

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address for online access*

Delegate 1 Details:

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

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address for online access*

Delegate 2 Details:

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

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address for online access*

Delegate 3 Details:

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

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address for online access*

Delegate 4 Details:

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

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address for online access*

Delegate 1 Details:

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

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address for online access*

Delegate 2 Details:

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

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address for online access*

Delegate 3 Details:

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

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address for online access*

Delegate 4 Details:

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

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address for online access*

Delegate 5 Details:

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

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address for online access*

Delegate 1 Details:

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

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address for online access*

Delegate 2 Details:

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

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address for online access*

Delegate 3 Details:

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

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address for online access*

Delegate 4 Details:

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

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address for online access*

Delegate 5 Details:

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

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address for online access*

Delegate 6 Details:

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

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address for online access*

Delegate 1 Details:

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

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address for online access*

Delegate 2 Details:

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

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address for online access*

Delegate 3 Details:

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

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address for online access*

Delegate 4 Details:

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

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address for online access*

Delegate 5 Details:

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

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address for online access*

Delegate 6 Details:

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

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address for online access*

Delegate 7 Details:

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

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address for online access*

Delegate 1 Details:

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

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address for online access*

Delegate 2 Details:

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

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address for online access*

Delegate 3 Details:

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

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address for online access*

Delegate 4 Details:

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

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address for online access*

Delegate 5 Details:

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

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address for online access*

Delegate 6 Details:

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

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address for online access*

Delegate 7 Details:

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

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address for online access*

Delegate 8 Details:

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

First Name* (required)

Surname*

Job Title / Profession*

Centre / Hospital name & address*

Email address for online access*

Business Phone

Email address for invoice

I understand and accept the booking Terms & Conditions

Matthew’s Friends Clinics 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.

KetoCollege UK 2022 Booking Form

Date: 24th 25th 26th May 2022

KETOCOLLEGE 2022 IS VIRTUAL AGAIN!

Options

Method of Payment

Contact Details

Terms & Conditions & Cancellations

Booking Form

Payment Method

Offline Booking Form

Online Booking Form

Date: 24^th 25^th 26^th May 2022