Registration - New Member

User Registration 2025 - New Member

MB 2025 Registration - New Member

Information collected in this form will help us to organise the event in October. We'll also create a profile for you on the MB platform containing only your basic information such as photo, name and email

First Name

Last Name

Preferred Pronouns

Ethnic background

Why are we asking this? We hope that MovingBeyond will reach diverse groups and reflect diverse ethnic perspectives. Answering this question helps us track that. For this list, we’ve followed the standard used in the 2021 Census of England and Wales.

Ethnic Background - please select

Organisation

Role

Short Bio (max 250 words)

LinkedIn URL

Nationality

Home address

Address Line 1

Address Line 2

City

Postcode

Country

Emergency Contact Name

Which borough do you live in?

Dietary requirements

Any accessibility requirements, health conditions or personal issues that the MovingBeyond team should be aware of?

Arrival date/time (approx)

Departure date/time (approx)

Main Mode of Transport to event

If 'Other' please specify

If you are offsetting your travel, please can you give details?

MovingBeyond wants to be accessible to as many people as possible. We ask people to contribute as much as they are able so that we can offer the experience to less affluent leaders for free or at reduced costs, and help keep the team going throughout the year. We are a not-for-profit and a start-up so every penny counts! Please consider donating to MB and helping us pay this forward.

If you are planning a donation, please specify the amount. (If you’ve made a donation pledge, someone will send an invoice within 5 working days. Thank you in advance for your generous support!)

Accommodation: We have chosen local social business Good Hotel as our official accommodation partner for this event. Please book directly on the Good Hotel official website quoting code ‘MB2025’. This will unlock a special discount off the best available rate. Don’t delay - we have a select number of rooms on hold on a first-come-first-served basis until Monday 30th September. https://goodhotel.co/london

I give consent for this information to be kept on file by the MovingBeyond team for the purposes of this event and ongoing communications i.e future event info and the MB newsletter. I understand that I can ask for this information to be removed at any time.

Yes

Photography and video may be taken at the event and may be used in MovingBeyond communication materials i.e. website and marketing. I give consent for my image and likeness to be used for these purposes whilst reserving the right for these to be removed at any time.

Yes

The MovingBeyond event will involve the offer of some field trips to local places of interest and there might be some parts of the event which could involve physical activity. I understand that should I partake I choose this freely and voluntarily and take full responsibility for any personal risk.

Yes

Anything else you'd like to add?