Attendee registration form (account holder)

Date: Monday 17 August 2026
Time: 6:30pm - 9:00pm
Location: Maddison House, 761 Darling Street, Rozelle, NSW 2039

Please note registering to this event you agree to your details required for this event to be shared with the RANZCP NSW Branch for event organising purposes.

Cancellation - change of mind
As this is a free event, no cancellation refunds apply. If you have registered and cannot attend, please let us know by sending an email to ranzcp.nsw@ranzcp.org as soon as possible as seats are limited.

Cancellation - medical
The health and safety of attendees is our highest priority. RANZCP requests that any attendee who is feeling unwell or has cold flu like symptoms, not to attend the event. If, on medical grounds, you are unable to attend the event, please notify us of your cancellation as soon as possible by emailing ranzcp.nsw@ranzcp.org as seats are limited.

RANZCP ID

Title

First name

Last name

Email address

Dietary requirements (in person attendees only)

Select all that apply

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Consultation Liaison Psychiatry Grand Rounds Presentation

Dietary requirements (in person attendees only)

Accessibility/mobility requirements

Registration

Thank you