RCHW Conference 2026

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Thank you for your interest in attending the Rural Health and Care Conference 2026. Please can you complete this form to register your place at the Conference - we look forward to welcoming you to the event, which promises to be a full and exciting two days.

Title, Name and Surname:

Please confirm your role (if attending in a professional capacity):

Please confirm your employer / the organisation you are representing (if applicable):

Email address:

Contact telephone number:

Please confirm below which tickets you would like to book. Each person wishing to book a ticket will need to do so individually. There is a small cost for attending in person, which is a contribution towards the catering (£15 for one day, £25 for both days). A separate email regarding payment will be sent once you have confirmed the booking. There is no cost for attending the Conference online.

IN PERSON Tuesday 10th November 2026 (£15)

IN PERSON Wednesday 11th November 2026 (£15)

IN PERSON Tuesday 10th and Wednesday 11th November 2026 (£25)

ON LINE Tuesday 10th November 2026

ON LINE Wednesday 11th November 2026

ON LINE Tuesday 10th and Wednesday 11th November 2026

If you are attending in person, please can you confirm whether are require any particular support with accessibility:

Yes*

Not Applicable

*If you replied "yes", please confirm what support you require:

This is required

If you are attending in person, please confirm whether you have any food allergies or specific dietary requirements:

Yes*

Not applicable

*If you replied "yes" above, please confirm what these are: