Register | AHA Young Guns 2023

PLEASE READ FIRST

You have the option to register more than one (1) per during this registration process. Please enter all the names you wish to register below.

Please complete the following registration in order from the first registrant. You will have the option to add the subsequent persons details later.

Your registration will not be complete until you see the 'Thank You for Registering' page.

No. of attendees

Group Members

Group Size

Data Processing Consent

The General Data Protection Regulation (GDPR) is a legal framework that sets guidelines for the collection and processing of personal information of individuals within the European Union (EU).

GDPR Consent

I give consent

GDPR Consent option required

Contact Details

Title

First Name as per passport

Middle Name

Last Name as per passport

Preferred First Name

Hotel/Business Name

Email Address

Verify Email Address

Work Phone Number

Mobile Number

Primary Address

Address

City/Town/Suburb

State/Territory

Postcode

Emergency Contact Name

Emergency Contact Phone Number

Emergency Contact Relationship

Dietary Requirements

Medical and/or Mobility Requirements

Date of Birth

COVID-19 Vaccination Status

Are you vaccinated against COVID-19

Yes

Early Bird Single Registration FULL

7,550.00

Single Registration FULL

7,950.00

Early Bird Twin Registration FULL

6,400.00

Twin Share FULL

6,900.00

Travel

International Travel Request

Flights to and from Australia are not included in your Study Tour package, but CWT is happy to assist you with flights.

Flight Quote Request

Yes, please send me a flight quote

Please enter your travel request details in the box below. Please advise preferred dates, cities, class of travel and any information that would be useful to create an itinerary for you

Travel Request

Accommodation Upgrades & Extensions

If you wish to extend pre or post at The W West Hollywood or The Bobby Nashville and/or wish to upgrade your room type, please tick the appropriate box below

Pre/Post Accommodation Extension

Room Upgrade

Bedding Preference

Please indicate your bedding preference below. This will apply for yourself and if you are registering a second person for the duration of the tour.

Double (1 Bed)

Double (1 Bed)

Twin (2 Beds)

Twin (2 Beds)

Summary

Terms and Conditions

Agree

Payment

Thank You

Thank you for registering to attend the 2023 AHA Young Guns Study Tour to LA and Nashville. We will keep in touch with regular updates in the coming weeks.