About This Form
Fields marked with a red asterisk are
compulsory.
Please note that we will not respond to any medical information or questions received
through the survey.
The information you supply us will be used lawfully, in accordance with the Data
Protection Act 1998. The Data Protection Act 1998 gives you the right to know what
information is held about you, and sets out rules to make sure that this information
is handled properly.
Please note that by using this form you will be sending information about yourself
across the Internet. Whilst every effort is made to keep this information secure,
you should be aware that we cannot offer any guarantees of absolute privacy. If
this matter concerns you then you should use another method of registration.
Personal information retained on this system is stored in a secure data centre located
in the UK and is treated as confidential.