ONLINE REGISTRATION FORM

Your privacy is important to us!

Please read the below information before you continue the online registration process. 

 

The European Union's new General Data Protection Regulation (GDPR) came into effect on 25 May 2018.

 

The GDPR was designed to harmonise data privacy laws across Europe, to protect and empower all EU citizens' data privacy, and to reshape the way organisations across the EU region approach data privacy.

 

Whilst the Paediatric Society of New Zealand is based in New Zealand and does not always have participants attend from the EU, as a responsible Professional Conference Organiser we believe it is important that we follow the GDPR standards to ensure that your personal data privacy is protected.

 

Registration Data Processing Consent

In order to deliver this event, we need to collect your personal information. Some information is shared with other providers for the purposes of your attendance. Full details of what we share and with whom is listed in the Data Consent Policy. In accordance with data protection guidelines, we require your consent to do this; without it, we are unable to process your registration via this online form. Please contact paula@fp2.co.nz with any enquiries you may have.

Data Processing Consent

Data Processing Consent option required

Conference APP Visibility Consent

 

ForumPoint2 Limited is committed to protecting the privacy of all personal data you provide us for this conference registration, and this includes your visibility in the Attendee App. You are able to change your opt in or opt out selection at any time in the Attendee App.  

 

Full details of what information would be shared under the conference app is listed in the Data Consent Policy. In accordance with data protection guidelines, we require your consent to do this. Please contact paula@fp2.co.nz with any enquiries you may have.

Attendee App Visibility

Attendee App Visibility option required

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ATTENDANCE

To streamline your registration process please select the most appropriate category below which reflects your attendance.

I will be attending:

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  • Privacy Required The Privacy Act 1993 provides that your name and contact details cannot be published in the list of conference delegates for distribution to fellow delegates, exhibitors, or any other party without your consent. If you DO NOT wish to be included in the delegate list, please tick the privacy required box below

    • Contact Details

    Billing details if different from above

    Please note:  As the "Registered Attendee" it is still your responsibility to ensure that payment of your participation is paid in full prior to conference.  Please ensure you settle or promptly forward all invoices to your Accounts Payable on receipt.

    Privacy

    ·         Privacy Required:  The Privacy Act 2020 provides that your name and contact details cannot be published (printed or supplied electronically) in the list of conference delegates for distribution to fellow delegates, exhibitors, or any other party without your consent.

    ·         If you DO NOT wish to be included in the conference delegate list, please note this below by clicking on the 'privacy required' box.

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    • Prices quoted are in New Zealand dollars and are inclusive of GST
    • Early bird registration rates apply until 29 September 2022, after which time late fees will apply (only the current fees are shown on this page).
    • Please select your appropriate registration type below:

    PRE-CONFERENCE SATELLITE MEETINGS

    TUESDAY 1 NOVEMBER 2022   

    Please select only one option on this page.

    Child Protection Special Interest Group Meeting

    8.30am - 5.00pm
    Venue: Devon Hotel

    AMOUNT
    320.00
    TOTAL
    AMOUNT
    365.00
    TOTAL
    AMOUNT
    120.00
    TOTAL
    AMOUNT
    165.00
    TOTAL
    AMOUNT
    200.00
    TOTAL
    AMOUNT
    60.00
    TOTAL

    Healthy Lifestyle Symposium

    9.00am - 5.00pm
    Venue: Devon Hotel

    AMOUNT
    320.00
    TOTAL
    AMOUNT
    365.00
    TOTAL
    AMOUNT
    120.00
    TOTAL
    AMOUNT
    165.00
    TOTAL
    AMOUNT
    200.00
    TOTAL
    AMOUNT
    60.00
    TOTAL

    Cardiac Inherited Diseases for Paediatricians Education Session

    Time: 1.00pm - 5.00pm
    Venue: Devon Hotel

    AMOUNT
    255.00
    TOTAL
    AMOUNT
    275.00
    TOTAL
    AMOUNT
    90.00
    TOTAL
    AMOUNT
    110.00
    TOTAL

    Please DO NOT refresh your screen during the registration process - you will be returned to the start of this form. 
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    • Prices quoted are in New Zealand dollars and are inclusive of GST
    • Early bird registration rates apply until 29 September 2022, after which time late fees will apply (only the current fees are shown on this page).
    • Please select your appropriate registration type below:

    CONFERENCE REGISTRATION

    Day Registration - Applies to single day conference registration

     WEDNESDAY 2 NOVEMBER 2022   

    AMOUNT
    600.00
    TOTAL
    AMOUNT
    800.00
    TOTAL
    AMOUNT
    450.00
    TOTAL
    AMOUNT
    650.00
    TOTAL
    AMOUNT
    350.00
    TOTAL
    AMOUNT
    450.00
    TOTAL
    AMOUNT
    175.00
    TOTAL
    AMOUNT
    250.00
    TOTAL
    AMOUNT
    225.00
    TOTAL
    AMOUNT
    300.00
    TOTAL
    AMOUNT
    175.00
    TOTAL
    AMOUNT
    250.00
    TOTAL
    AMOUNT
    225.00
    TOTAL
    AMOUNT
    300.00
    TOTAL
    AMOUNT
    175.00
    TOTAL
    AMOUNT
    250.00
    TOTAL
    AMOUNT
    175.00
    TOTAL
    AMOUNT
    200.00
    TOTAL

    THURSDAY 3 NOVEMBER 2022 

    AMOUNT
    600.00
    TOTAL
    AMOUNT
    800.00
    TOTAL
    AMOUNT
    450.00
    TOTAL
    AMOUNT
    650.00
    TOTAL
    AMOUNT
    350.00
    TOTAL
    AMOUNT
    450.00
    TOTAL
    AMOUNT
    175.00
    TOTAL
    AMOUNT
    250.00
    TOTAL
    AMOUNT
    175.00
    TOTAL
    AMOUNT
    175.00
    TOTAL
    AMOUNT
    250.00
    TOTAL
    AMOUNT
    225.00
    TOTAL
    AMOUNT
    300.00
    TOTAL
    AMOUNT
    225.00
    TOTAL
    AMOUNT
    300.00
    TOTAL
    AMOUNT
    175.00
    TOTAL
    AMOUNT
    200.00
    TOTAL

    FRIDAY 4 NOVEMBER 2022   

    AMOUNT
    600.00
    TOTAL
    AMOUNT
    800.00
    TOTAL
    AMOUNT
    450.00
    TOTAL
    AMOUNT
    650.00
    TOTAL
    AMOUNT
    350.00
    TOTAL
    AMOUNT
    450.00
    TOTAL
    AMOUNT
    175.00
    TOTAL
    AMOUNT
    250.00
    TOTAL
    AMOUNT
    175.00
    TOTAL
    AMOUNT
    250.00
    TOTAL
    AMOUNT
    175.00
    TOTAL
    AMOUNT
    250.00
    TOTAL
    AMOUNT
    225.00
    TOTAL
    AMOUNT
    300.00
    TOTAL
    AMOUNT
    225.00
    TOTAL
    AMOUNT
    300.00
    TOTAL
    AMOUNT
    175.00
    TOTAL
    AMOUNT
    200.00
    TOTAL

    Full Conference Registration - applies to all conference days

    WEDNESDAY 2 - FRIDAY 4 NOVEMBER 2022

    AMOUNT
    1,600.00
    TOTAL
    AMOUNT
    1,600.00
    TOTAL
    AMOUNT
    1,800.00
    TOTAL
    AMOUNT
    1,995.00
    TOTAL
    AMOUNT
    900.00
    TOTAL
    AMOUNT
    1,100.00
    TOTAL
    AMOUNT
    950.00
    TOTAL
    AMOUNT
    1,150.00
    TOTAL
    AMOUNT
    700.00
    TOTAL
    AMOUNT
    850.00
    TOTAL
    AMOUNT
    750.00
    TOTAL
    AMOUNT
    900.00
    TOTAL
    AMOUNT
    445.00
    TOTAL
    AMOUNT
    545.00
    TOTAL
    AMOUNT
    445.00
    TOTAL
    AMOUNT
    545.00
    TOTAL
    AMOUNT
    445.00
    TOTAL
    AMOUNT
    545.00
    TOTAL
    AMOUNT
    545.00
    TOTAL
    AMOUNT
    645.00
    TOTAL
    AMOUNT
    350.00
    TOTAL
    AMOUNT
    450.00
    TOTAL

    I am bringing an Accompanying Person

    This information is for name badge purposes only, please purchase tickets on following Social Functions page.

    Name Badge

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    SOCIAL FUNCTIONS

    Welcome Dinner and Powhiri

    Tuesday 1 November 2022, 5.30pm – 9.00pm
    Venue:            Maru Rau Patu Marae, Te Arei Road East, Sentry Hill
    Transport:      Return coach transport departing from The Devon Hotel at 5.30pm
    Dress:             Smart Casual
    Cost:               $100.00 per person
    Social function cancellations cannot be refunded if participation is cancelled less than 48 hours prior to the event.

    Please select the number of tickets you wish to purchase from the dropdown box below:

    AMOUNT
    100.00
    TOTAL

    Drinks and Nibbles at East End Surf Club

    Wednesday 2 November 2022, 5.45pm – 7.15pm
    Venue:            East End Surf Life Saving Club, East End Beach, Nobs Line, New Plymouth
    Transport:      Walking Bus departing from The Devon Hotel at 5.30pm
    Dress:              Smart Casual
    A cash bar will be operating for all beverages, canapes provided, dinner own arrangements

    One ticket is included in the full registration fee. Guest and Day registrants are welcome to purchase tickets.
    Social function cancellations cannot be refunded if participation is cancelled less than 48 hours prior to the event.

    Purchase of additional Drinks & Nibbles tickets

    Please select the number of additional tickets in the dropdown box below:

    AMOUNT
    50.00
    TOTAL

    PSNZ Conference Dinner and Awards Presentation

    Thursday 3 November 2022, 7.00pm - late
    Venue:            The Vineyard Bistro Okurukuru, 738 Surf Highway 45, New Plymouth
    Transport:      Return coach transport departing from The Devon Hotel at 6.30pm
    Dress:              Smart Casual
    Cash bar available
    Please note:  Consultants, RMO, SHO, Students, Guest and Day registrants – the Conference Dinner ticket is NOT included in your registration this year but you are welcome to purchase tickets below.
    Tickets to this dinner is limited.

    AMOUNT
    140.00
    TOTAL

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    CP SIG PARALLEL SESSION SELECTION

    Tuesday 1 November 2022, 1.30pm - 4.00pm

    Child Protection SIG Parallel Session - I will be attending the:

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    WORKSHOP SELECTIONS

    WEDNESDAY 2 NOVEMBER 2022 
    Minimum and maximum numbers apply to workshops below:

    Concurrent Session 3B: Violence Intervention Workshop

    4.00pm - 5.30pm

    Concurrent Session 3C: Poi Workshop

    Cost includes poi provided to you.

    4.00pm - 5.00pm
    AMOUNT
    35.00
    TOTAL

    Concurrent Session 3D: Weaving Workshop

    3.30pm - 5.30pm
    AMOUNT
    30.00
    TOTAL

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    BREAKFAST SESSION/EXCURSIONS

    Breakfast Session - Practical Skin Care

    Thursday 3 November 2022

    Devon Hotel, 6.30am - 7.45am

    Join us for a practical hands on approach to eczema skin care.  Participants will be part of an interactive session where they can learn the difference between lotions, creams  and ointments and how each one feels different on the skin.

    AMOUNT
    0.00
    TOTAL

    Waka Ama

    Limited numbers apply

    6.15am - 7.30am
    Coach departs Devon Hotel 6.00am - returns 7.30am

    AMOUNT
    80.00
    TOTAL
    AMOUNT
    80.00
    TOTAL

    Coastal Walkway - Cycle

    6.30am - 7.30am

    AMOUNT
    0.00
    TOTAL
    AMOUNT
    0.00
    TOTAL
    AMOUNT
    0.00
    TOTAL

    Coastal Walkway - Walk

    6.30am - 7.30am

    AMOUNT
    0.00
    TOTAL
    AMOUNT
    0.00
    TOTAL
    AMOUNT
    0.00
    TOTAL

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    ACCOMMODATION

    Accommodation has now been released back to the hotel.

     

    Alternative accommodation?
    Please visit www.taranaki.co.nz/visit/where-to-stay/ or visit www.booking.com for options in New Plymouth, Taranaki

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    ADDITIONAL INFORMATION

    Emergency Contact Name

    Please supply a contact name and number in case of an emergency during the time of the conference. An office number is not sufficient.

    MEDICAL CONDITIONS/MOBILITY RESTRICTIONS

    Please advise us of any medical conditions/mobility restrictions we need to be aware of e.g. epilepsy, asthma, wheelchair access etc.

    Dietary Requirements

    Please advise us of any dietary requirements for medical or religious reasons so we can cater for these.

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    Payment of Registration Fees

    Please note:  As the "Registered Attendee" it is still your responsibility to ensure that payment of your participation is paid in full prior to conference.  Please ensure you settle or promptly forward all invoices to your Accounts Payable on receipt.

    Payment of Registration Fees

    REGISTRATION QUERY

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    If you have a question, please record it here or click here to email the Conference Coordinator.

    Summary

    Health and Safety and Terms and Conditions

    Delegate Cancellations and Refund Policy
    All cancellations must be made in writing to ForumPoint2 Conference Partners (paula@fp2.co.nz) and any refund decisions will made in consultation with the organising committee.

    If you are unable to attend:  You may assign your registration to another person, please contact ForumPoint2 Conference Partners (paula@fp2.co.nz) if you wish to do this.

    Cancellation requests made between 1 August 2022 and 1 October 2022 will receive a full refund minus an administration fee of $100. Any cancellations after this date will be at the discretion of the organising committee. Refunds will be made after the conclusion of conference.

    Conference Cancellation
    Paediatric Society of New Zealand and ForumPoint2 Conference Partners are regularly monitoring the latest information from the Ministry of Health and World Health Organisation, along with local the Public Health Authorities and we advise attendees to review this information prior to registering for the conference. If we are required to make any changes or cancellations to our conference due to Government restrictions in relation to COVID-19, delegates will be notified by email and will be provided a full refund of their registration fee. 

    Privacy – Marketing
    Personal information is collected on behalf of the Paediatric Society of New Zealand. A delegate list will be produced for the conference including name, organisation, and email address.  It will be distributed to conference attendees, conference partners and exhibitors, and provided to Paediatric Society of New Zealand and future organisers of the Paediatric Society of New Zealand. This list will not be provided by the Paediatric Society of New Zealand Organising Committee to any other third party.  Should you not wish your details to be included on the list please indicate when asked during the registration process. Attendance information is collected for the purposes of contact tracing and may be disclosed to the Ministry of Health should the need arise.

    Data Protection
    The European Union's new General Data Protection Regulation (GDPR) came into effect on 25 May 2018. Whilst the Paediatric Society Conference 2022 is based in New Zealand, and we do not always have delegates or speakers attend from the EU, as a responsible Professional Conference Organiser we believe it is important that we follow the GDPR standards to ensure that your personal data privacy is protected. Please note, when you register online you will be asked to give your consent to providing your personal information in order to register for the conference.

    Health & Safety
    The conference managers, ForumPoint2 Limited, in conjunction with the Paediatric Society of New Zealand Committee and Venues will provide a safe and healthy environment as possible for all attendees at the conference. This commitment extends to ensuring the Paediatric Society of New Zealand ASM operations do not place the local community at risk of any injury, illness, or property damage. The Venue will take responsibility for providing health and safety procedures whilst on site.

    All measures within our ability will be undertaken to ensure that attendees are as informed as possible about any potential risks or hazards they may face whilst attending conference. All attendees will need to:

    • Listen to the health and safety briefing onsite and/or read the health and safety document available at the registration desk
    • Ensure all health and safety concerns; and all accidents or near accidents are immediately reported to the onsite ForumPoint2 Health and Safety Officer
    • All attendees are encouraged to be responsible at all times, and to promote a safe and healthy working environment for the entire conference duration.
    • Please respect your own personal safety and that of other conference delegates and employees.
    • Delegates and exhibitors will be required to scan in and out of the conference daily to allow for contact tracing should it be required.

    Payment
    Payment can be made by credit card (Visa or Mastercard) at time of registration or by direct credit on receipt of invoice (account details will be included on your invoice).  All prices are quoted on the summary page in New Zealand dollars and include GST of 15%.  Credit card payments will show debit as ForumPoint2 Ltd.  Credit card payments are processed via a secure WindCave payment gateway with a high level of compliance.

    By completing a registration for the Paediatric Society of New Zealand Meeting you acknowledge that you are responsible for the payment of your Registration Fee/s and will ensure prompt payment is provided by the bill payer.

    Insurance 
    The organisers and the Conference Managers will not accept any liability for losses associated with the conference. Delegates are advised to arrange their own comprehensive travel and medical insurance, including insurance for personal possessions and financial loss due to cancellation or postponement of the conference.

    Disclaimer
    The information on the conference website is correct at the time of publication.  However, the conference organisers reserve the right to change information. If, for reasons beyond the control of the organising committee, the conference is cancelled, registration fees will be refunded after deduction of expenses already incurred.

    ForumPoint2 and Paediatric Society of New Zealand reserve the right to refuse entry.

    Terms and Conditions

    PAYMENT

    Please select your payment method below.

  • All prices are in New Zealand dollars and include Goods and Services Tax of 15%.
  • GST No: 86-524-511
  • Payment must be received within 10 working days of invoice being issued


    Credit Card Payment - Please enter your credit card details below:
    Please note, the merchant details on your credit card statement will read as ForumPoint2 Limited, as the processing Merchant on behalf of PSNZ 73rd ASM 2022. (2.5% credit card fee applies)

    Thank you for your registration.

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