Boxes marked with a * must be filled.

What workshop/group would you like to register for? *
Please choose one... Sleep Workshop 24 May Sleep Workshop 30 May Panic Workshop 16 May Panic Workshop 22 May Panic Workshop 29 May Relaxation Workshop 18 May Relaxation Workshop 25 May Relaxation Workshop 1st June Anxiety and Stress 23 May Anxiety and Stress 28th May Time Management Workshop 17 May Time Management Workshop 24 May Time Management Workshop 31 May Time Management Workshop 7 June Time Management Group 17 May Time Management Group 24 May Time Management Group 31 May Time Management Group 7 June

Last name *

Email Address *
You will be contacted on this address to confirm your registration and for further instructions

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How did you hear about this workshop? *
Please choose one... From the website From one of the Counsellors From my tutor From a friend From a poster Other

Data Protection: By submitting this form, you consent to the University of Birmingham holding and processing your data for the purposes of administering the event for which you have registered. This data will be held and processed in accordance with the Data Protection Act 1998 and will not be retained for any longer than is necessary.