Conference Confirmation Form
*Due by Monday, May 26th*
Please read the following privacy statement before filling out the form.
The Hippocratic Society is committed to protecting and respecting your privacy, and we’ll only use your personal information to administer your account and to share other content that may be of interest to you from time time.
In order to provide you the content requested, we need to store and process your personal data. If you consent to us storing your personal data for this purpose, please tick the checkbox below.
You can unsubscribe from these communications at any time.
By consenting below, you agree to allow the Hippocratic Society to provide the Marriott Las Colinas Hotel with your information, which will be processed according to their privacy policy.
By attending the Hippocratic Society Inaugural Conference, you agree to grant Hippocratic Society permission to capture and use my image and/or video for promotional, marketing, and educational purposes, including but not limited to websites, social media, press releases, and printed materials, without further notice or compensation.
Finally, we may use a transportation service that records all passengers and drivers for safety and security. They store this information according to their privacy policy.
By checking below, you consent to us contacting you, storing your data, providing your data to the Marriott Las Colinas Hotel, capturing your image, and to be recorded by a rideshare service according to their privacy policy.
