Conference Registration Form

Earlybird Registration
Online Conference Registration and Payment

Earlybird Registration is OPEN for SSBP 2022

SSBP 2022 registrations and payments can be made securely online. All credit card transactions are carried out using the PayPal secure e-merchant facility, with all credit card details processed via secure SSL encryption. You do not need a PayPal account, although you may use one if you wish.

Earlybird Registration rates apply until 8th July 2022

Click here to view Registration Options.

1Registration Details

2SSBP Membership

3Choose Your Conference Package

Registrant Full Name

Title First Last

Email(Required)

Phone

Please include international country code

Billing Address(Required)

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Additional Information

Delegates List(Required)

Do you give permission for your name, institution, country and email address to appear on the delegates list?

Consent to be contacted by SSBP(Required)

The SSBP will contact you with information relating to the 2022 SSBP conference. We would also like to keep in touch with you about future SSBP conferences. If you consent to us storing your contact information, we will only use this to let you know about SSBP conferences - we never send marketing emails or pass your data on to third parties.

What is your SSBP membership status?(Required)

* Must be a full time student enrolled in a degree/diploma course ** Low or Middle-Income Country according to the World Bank classifications.

Institution

Please enter N/A if institution not applicable

Department

Optional

Institution Address

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

SSBP Student Members - SSBP members who are full time students enrolled in a Diploma or Degree Course at a tertiary institution.

Name of Supervisor

Email of Supervisor

What degree you are enrolled for?

Conference Package Options

Choose your conference package

SSBP Members Pricing

Choose your conference package

Student SSBP Members Pricing

Choose your conference package

SSBP Non-Member Pricing

Choose your conference package

SSBP Member from LMIC**

** Low or Middle-Income Country according to the World Bank classifications.

Please note, the special LMIC discounted rate only applies to the 3-day registration packages. Registration for just the Educational Day or just the Research Symposium is charged at SSBP Member rates.

Choose your conference package

Student SSBP Member from LMIC**

** Low or Middle-Income Country according to the World Bank classifications.

Social Events

3-Day Package and Research Symposium Registration entitles you to attend both the Welcome Reception and the Conference Dinner for no extra charge.

Educational Day Only registration entitles you to attend the Welcome Reception for no extra charge.

Will you be attending the Welcome Reception (8th Sep)(Required)

Will you be attending the Conference Dinner (9th Sep)(Required)

Dietary and Access Requirements

Special Requirements

Do you have any special dietary or access requirements (for social events and general conference catering)?

Please provide details below. Please note, we cannot guarantee to accommodate any requirements that you do not declare at this time.

Invite Additional Guests

Do you want to invite additional guests to the Welcome Reception?

You are welcome to reserve additional guest tickets for the conference Welcome Reception (8th Sep) - tickets are free, but must be reserved in advance.

How many guest tickets do you require for the Welcome Reception on the 8th September?

Number of Additional Guest Tickets for Welcome Reception on 8th September (tickets are free, but must be reserved).

Do you want to invite additional guests to the Conference Reception Dinner?

You are welcome to purchase additional guest tickets for the conference Conference Reception Dinner - (9th Sep) guest tickets are £90, and must be bought in advance.

How many guest tickets do you require for the Conference Dinner on the 9th September?

Number of additional guest tickets for the Conference Dinner on 9th September (£90 per ticket)

Welcome Reception - Guest Information

Welcome Reception - Guest 1

First Last

Welcome Reception - Guest 2

First Last

Welcome Reception - Guest 3

First Last

Welcome Reception - Guest 4

First Last

Welcome Reception - Guest 5

First Last

Conference Dinner - Guest Information

Conference Dinner - Guest 1 Information

First Last

Conference Dinner - Guest 1 Special Requirements

Do you have any special dietary or access requirements (for social events and general conference catering)?

Please provide details below. Please note, we cannot guarantee to accommodate any requirements that you do not declare at this time.

Conference Dinner - Guest 2 Information

First Last

Conference Dinner - Guest 2 Special Requirements

Do you have any special dietary or access requirements (for social events and general conference catering)?

Please provide details below. Please note, we cannot guarantee to accommodate any requirements that you do not declare at this time.

Conference Dinner - Guest 3 Information

First Last

Conference Dinner - Guest 3 Special Requirements

Do you have any special dietary or access requirements (for social events and general conference catering)?

Please provide details below. Please note, we cannot guarantee to accommodate any requirements that you do not declare at this time.

Conference Dinner - Guest 4 Information

First Last

Conference Dinner - Guest 4 Special Requirements

Do you have any special dietary or access requirements (for social events and general conference catering)?

Please provide details below. Please note, we cannot guarantee to accommodate any requirements that you do not declare at this time.

Conference Dinner - Guest 5 Information

First Last

Conference Dinner - Guest 5 Special Requirements

Do you have any special dietary or access requirements (for social events and general conference catering)?

Please provide details below. Please note, we cannot guarantee to accommodate any requirements that you do not declare at this time.

Conference Price Total

Total

2022 SSBP Conference

Membership

Information

Contact

The Society for the Study of Behavioural Phenotypes (SSBP)

The Society for the Study of Behavioural Phenotypes (SSBP) is an international, interdisciplinary research society for studying the development, learning and behaviours of individuals with genetic disorders and ways of helping to improve lives. The society is registered as a charity in the UK (No. 1013849) and was set up in 1987.