ECFSNG Interest Form

Any Registered Dietitian, who is actively working in, or affiliated with the care of adults or children with cystic fibrosis can subscribe to the mailing list of the ECFS Nutrition group.

How to join

Please complete and submit the application form below which will be forwarded to the ECFSNG Secretary. Your details will not be passed on to a third party without your permission.
Please contact the current ECFNG secretary (details on the committee page) if you have any questions about membership.

Dietician Interest Form

Your Information

Family Name *

Please enter your Surname / Last Name

First Name(s) *

Please enter your first name(s)

E-mail *

Please enter the email address where we can contact you.

Alternative Email

Please provide an alternative email address (if available)

Institution *

Please provide us with the name of your Institution

Department *

Street Address *

Address

An additional address line if required

Post/ZIP Code *

Town/County/State

Please enter your town, and County or State as applicable.

Country *

About You

Your Role *

Please tell us a little about your role including whether you work with Adult or Paediatric CF patients or both.

Your Areas of Interest within Cystic Fibrosis Care *

Are you an ECFS Member? *

Yes

Privacy of Information

I allow ECFS to send me communications

I allow ECFS to send me communications *

I agree for ECFS to send me communications by email (e.g. newsletters, communication from ECFS groups and projects, information deemed of interest to members)

I agree to receive communication from third parties

I agree to receive communication from third parties *

I agree to be sent communications from third parties which may be of interest (e.g. call for applications for grants)

I understand that the details above will be sent to the ECFS Nutrition Special Interest Group Secretary

I understand that the details above will be sent to the ECFS Nutrition Special Interest Group Secretary *

Further information on data protection (in particular on the rights as a data subject to information, objection, revocation of consent, blocking and deletion of personal data) can be found in the ECFS Privacy Policy [1].

How to join

Dietician Interest Form

Data Protection and Sharing of Contact Details