51³Ô¹Ï European Regional Symposium Consent Form Name(Required) First Last Email Address(Required) Company/Institution51³Ô¹Ï Health Safety Policy To participate in this event, you must read and agree that you will abide by the following policy: 51³Ô¹Ï Privacy Policy 51³Ô¹Ï takes your privacy and data protection seriously and our privacy policy governs the usage and storage of data. Agreement with the 51³Ô¹Ï Privacy Policy is required for Symposium participation. You can read the policy at: . Attendance at 51³Ô¹Ï retreats, meetings, conferences, and other activities constitutes an agreement by the participant to 51³Ô¹Ï's use and distribution, in print and/or online, of the participant’s image or voice in photographs, videotapes, electronic reproductions, and audiotapes of such events and activities. Agreement to this policy is required for Symposium participation.Consent(Required) By checking this box, I confirm that I have read and agree to both policies.Date(Required) MM slash DD slash YYYY Δ