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Health Seminar Registration Form Template

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Personal Information

Residential Address

Seminar Information

Topics of Interest

Consent Acknowledgment

Clear Signature
Price: $50.00

The Health Seminar Registration Form Template by WPForms is expertly designed to facilitate the registration process for educational seminars within the healthcare sector.

How Does the Health Seminar Registration Form Template Work?

The Health Seminar Registration Form Template requires the WPForms Pro License and the Signature Addon to collect user information and acquire consent. Fields include:

  • Personal Information:
    • Full Name: Collects the participant’s name to personalize communications
    • Date of Birth: Used to confirm age and for demographic analysis purposes.
    • Phone Number: A direct number to reach the participant for updates.
    • Email Address: Essential for sending seminar confirmations and updates.
    • Residential Address: Helps understand participants’ geographic distribution.
  • Seminar Information:
    • Topics of Interest: Allows participants to select seminar topics they are most interested in, aiding in the customization of content.
    • Anything Specific You Want Discussed: Space for participants to express any particular topics or questions they hope the seminar will address.
    • Will you require special accommodations?: Ensures all participants’ needs are considered and met, such as accessibility requirements.
  • Consent Acknowledgment:
    • Consent Checkbox: Verifies that the participant agrees to the processing of their data in accordance with privacy policies.
    • Signature and Date: Digitally captures the participant’s signature, confirming their registration and agreement to terms.
    • Registration Fee: Provides a summary of the registration cost which is associated with attending the seminar.
    • Payment Information: Secure field for processing payments via Stripe, facilitating easy and secure transactions.

Sign up with WPForms today and access the Health Seminar Registration Form Template. It is ideal for event coordinators, healthcare organizations, and educational institutions planning seminars that require efficient participant registration.