Retina UK Newcastle Information Day Registration Form

Will you be bringing a sighted guide/supporter?YesNo

Will you be bringing a Guide Dog?
YesNo

Are you directly affected by an Inherited Retinal Condition?
YesNo

Are you a supporter/family member of somebody with an Inherited Retinal Condition? YesNo

Are you a professional working who are affected by someone who has an Inherited Retinal Condition?
YesNo