91st QoC talk - Trauma informed approaches in services for young children and their caregivers.

Registration Form
DATE AND TIME

Tuesday 5th December 2023 from 9.30 to 11.30 CET
LOCATION

European Parliament Building
Rue Wiertz 60, 1047 Brussels, Belgium
Room 1E1
THE EVENT WILL ALSO BE STREAMED

WE WILL SEND YOU THE LINKS TO THE SUBMITTED EMAIL
Are you under 16?*

YesNo

Are you registering yourself or a child in your care?*

MyselfA child (if you are registering yourself and your child, start here)

If you are under 16, we will need to get parental consent for you to attend the meeting. We will sent your parents a link to our child consent form.

When then they have completed this you will both be sent a confirmation email with your invitation to attend the meeting.

Please enter your Parent/ Guardians email address and we will send them a consent form.
Your parents email address?*
example@example.com
Who shall we say it is from?*
Please do not write your name. Just something that the person recieves this knows it's you.

The email to your parent will say this email is from "----"

Examples:

Your middle Child

The Manchester United Fan

The one who walks the dog

Apologies, you should not have come here.

Please click back and then submit.

Registration Form
Parents / Guardian Name*

First NameLast Name
Parent / Guardian Email address:*
example@example.com
Person Under 18's Data
Name:*

First NameLast Name
Date of birth?*

DayMonthYear
Date
Nationality*
Email: (this will be used to send the invitation, you too will receive a copy, please put your email if more convenient)*
example@example.com
Type of ID Document*
ID Number*
Expire date of the Document *

MonthDayYear
Date
Are there any additional children you would like to register? Please enter their names and date of birth below:
Is this child legally in your care?*

YesNoOther
Additional information
Are you attending the event as well?*

Yes, I am comingNo, just my childWe don't know yet
Is there anything you think we should know that would support your child's participation?
I give my permission for the above named person to attend:*

Clear

Registration Form
Name*

First NameLast Name
Job Title:
Name of Organisation?
Email*
example@example.com
Do you have a badge to access the European Parliament?*

YesNoI would only like to register to receive the online transmission link
Do you want to attend the Post QoC after the event from 12.00 to 14.00?*

YesNo
The Post-QoC is an informal meeting where participants will get a chance to continue the conversation with speakers and discuss the implications of the presentation. It Post-QoC will take place from 12:00 to 14.00 at the Alliance for Childhood's office, rue du Trône 194, 1050 Brussels.

Please fill in this information to generate an access badge to the Parliament for you
Type of ID Document*
ID Number*
ID Expire date*

DayMonthYear
Date
Date of birth*

DayMonthYear
Date
Nationality*

Please use a few words to respond to the following questions and help us successfully facilitate the event
What is your expectation from the event?
What is your motivation to attend the event?
If you have any questions or other things you think we should know?
Thank you for registering. Please click "submit" to complete.

A confirmation will be sent to the email provided.
Should be Empty:

Registration Form