LUSoM Open Event - Cardinal Newman College

When booking onto this event, please ensure all details are those of the student wishing to attend. If you are booking for yourself as the student, please ensure the email address is your own and not your parent's/guardian's. If you are a parent/guardian booking on behalf of your child, please ensure you complete the form with their details and their email address. This helps us to ensure all communications are addressed to and reach the correct person. Thank you.

About you

First Name *

Last Name *

What School / College do you attend *

Other School

Email Address *

Mobile phone

First name of parent/guardian	Second name of parent/guardian
Email address of parent/guardian *

What year are you in *

Birthday

How did you hear about us

We will be taking photos throughout the event, do you consent to these photos being published to our social media?

Do you consent to images taken on the day to be used in press & social media platforms? *

How can we contact you?

Email (Recommended)

Phone

Post

SMS

Privacy Statement

You can view our Privacy and Data Protection policies on our website here.

I accept*

LUSoM Open Event - Saturday 3rd February 2024, 10am - 12:30pm

Lark Hill Road Preston Lancashire PR1 4HD
Principal Nick Burnham
Deputy Principal Paul Vaughan

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Powered by Azorus CRM™