This is the sign up form for members of the Dyspraxia Foundation who want to attend our Adults Conference in Birmingham on 26th October 2019.

If you wish to book online for multiple attendees please register each user separately. Alternatively contact head office on 01462 455016 for further booking information or download, complete and send in a registration form.

Salutation *

Please indicate any special dietary needs:

If you have a disability or additional needs and require assistance in order to fully participate in this event,
please tick here. You will be contacted by a member of staff to discuss your specific needs. Yes

Keep in touch Yes
Please tick if you agree to receiving further information from the Dyspraxia Foundation with relevant news, webinars, surveys and events.
Note: Personal contact details provided by you will be held on a database for the purposes of administrating the conference.

Cancellation Policy
Cancellations received in writing no later than Friday, 11th October will receive a full refund less £10.00 administration charge. No refunds are possible after this date but substitutions are welcome at any time; however an administration charge of £5.00 will be levied

Our online payment provider for this conference is PayPal. Please press continue above to be transferred to PayPal to pay for our place at our event.