WCRSVS Retreat 2023 | Refractive Surgery Alliance Society

2023 WCRSVS Board & Trustee Meeting - Adare, Ireland

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WCRSVS BOARD & TRUSTEE MEMBER REGISTRATION - I PLAN TO ATTEND...*

WCRSVS TRUSTEE FULL NAME & CREDENTIALS:*

First Last Credentials

PERSONAL EMAIL:*

Enter Email Confirm Email

PERSONAL CELL PHONE NUMBER:*

We use your cell phone number in the unlikely event we must reach you during the event.

SPOUSE/SIGNIFICANT OTHER FULL NAME*

First Last

SPOUSE/SIGNIFICANT OTHER EMAIL:*

Enter Email Confirm Email

SPOUSE/SIGNIFICANT OTHER CELL PHONE NUMBER:*

We use this guests cell phone number in the unlikely event we must reach them during the event.

PRACTICE / CORPORATION / INSTITUTION NAME:*

Address*

Street Address City State / Province / Region ZIP / Postal Code Country

DO YOU HAVE A FOOD ALLERGY OR DIETARY RESTRICTION WE SHOULD BE AWARE OF?*

YES!

PLEASE DESCRIBE YOUR FOOD ALLERGY OR DIETARY RESTRICTION:*

DOES YOUR SPOUSE/SIGNIFICANT OTHER HAVE A FOOD ALLERGY OR DIETARY RESTRICTION WE SHOULD BE AWARE OF?*

YES!

PLEASE DESCRIBE YOUR SPOUSE/SIGNIFICANT OTHER FOOD ALLERGY OR DIETARY RESTRICTION:*

DO YOU HAVE A DISABILITY WE SHOULD BE AWARE OF?*

YES!

PLEASE DESCRIBE YOUR DISABILITY:*

DO YOU WANT TO RESERVE A GOLF TEE TIME AT THE GOLF COURSE AT ADARE MANOR?*

Golf activity fees will be billed directly to you through The Golf Course at Adare Manor based on your selections. Advance tee time reservations are STRONGLY advised to ensure you may play while you stay at Adare Manor. Tee times and play preference selections are provided herein and accommodated as much as possible, however not guaranteed. In the event, we cannot accommodate your request - e.g. the tee time selected has already been booked - we will contact you with the options available. Preview The Golf Course @ Adare Manor at https://www.adaremanor.com/golf/

NUMBER OF PEOPLE YOU ARE RESERVING A GOLF TEE TIME FOR?*

NOTE: Golf tee times may only be reserved for guests staying at Adare Manor. Day players are not permitted. You will indicate solo, double, triple, or quad-play preference in a separate drop-down. If you indicate a play preference greater than the number of tee time reservations you are making, we will match you with other WCRSVS Trustees should your preferences match.

GOLF PLAY PREFERENCE?*

You may indicate solo, double, triple, or quad-play preference in a separate drop-down. If you indicate a play preference greater than the number of tee time reservations you are making, we will match you with other WCRSVS Trustees should your preferences match.

GOLF TEE TIME PREFERENCE?*

Golf tee times may only be reserved for guests staying at Adare Manor. Day players are not permitted. We will match you with other WCRSVS Trustees should your tee time and play preferences match.

DO YOU WANT TO RESERVE A SPA TIME AT THE SPA AT ADARE MANOR?*

Spa treatment slots are 50/60-minute slots. Spa Treatments will be billed directly to you through The SPA at Adare Manor based on your selections at the time. You are NOT required to make "Treatment" selections at this time, only reserve the "Time Slot" if you plan to use the Spa. Advance time slot reservations are STRONGLY advised to ensure a time slot as they are limited. Time preference selections are provided herein and accommodated as much as possible, however not guaranteed. In the event, we cannot accommodate your request - e.g. the time selected has already been booked - we will contact you with the closest options available. Preview The Spa @ Adare Manor at https://www.adaremanor.com/spa/

NUMBER OF PEOPLE RESERVING A SPA TIME FOR?*

SPA TIME PREFERENCE?*

DO YOU WANT TO MAKE A RESERVATION FOR AFTERNOON TEA SERVICE AT ADARE MANOR?*

Afternoon Tea reservations will be billed directly to you through Adare Manor based on your reservation. Advance reservations are STRONGLY advised as seating is limited. Time preference selections are provided herein and accommodated as much as possible, however not guaranteed. In the event, we cannot accommodate your request - e.g. the time selected has already been booked - we will contact you with the closest options available. Preview Afternoon Tea at Adare Manor at https://www.adaremanor.com/afternoon-tea/

NUMBER OF PEOPLE JOINING YOU FOR AFTERNOON TEA?*

AFTERNOON TEA SERVICE PREFERENCE?*

You may indicate enjoying Tea at as single service table (you alone at your table), or with up to six people with whom you will share a table. If you indicate a Tea Service table preference greater than the number in the reservation you are making, we will match you with other WCRSVS Trustee attendees should your preferences match.

AFTERNOON TEA SERVICE SEATING TIME PREFERENCE?*

PARATICIPATE IN ONE-WAY MOTOR COACH TRANSPORTATION FROM ADARE MANOR TO THE WESTBURY HOTEL DUBLIN, THURSDAY, 29 JUNE 2023 ?*

We will arrange for a one-way Luxury Motor Coach Transportation from Adare Manor to The Wesbury Hotel Dublin on Thursday, 29 June 2023 departing @ 1:00 PM for those interested. The fee is € 50 per person and will be billed directly to you after the meeting. The Motor Coach will deliver all riders to the RSA Meeting Hotel (The Westbury in Dublin) well in advance of the "RSA Cocktail Reception" which begins at 7:00 PM the same evening. The drive is approximately 2.5 hours. Advance reservations are required, however we wil make this same reservation interest request in May 2023.

NUMBER OF PEOPLE JOINING YOU ON LUXURY MOTOR COACH (ONE-WAY TRANSPORT) FROM ADARE MANOR TO THE WESTBURY HOTEL?*

Consent*

Participation Policy: This vital retreat incurs an expense for the World College of Refractive Surgery & Visual Science. The ability to bring such a prestigious group together merits this expense. However, to ensure no funds are wasted, we will invoice any participant who registers and does not participate in person $4,125 USD after the event has concluded. This event will herald a new era for the World College of Refractive Surgery & Visual Sciences. We anticipate the retreat with great excitement and hope all Board Members and Trustees will attend!

I agree to this participation policy.

This field is for validation purposes and should be left unchanged.

The Refractive Surgery Alliance is a professional organization and does not provide medical services or advice. Information provided here is obtained from a variety of sources and is provided for informational services, only.

2023 WCRSVS Board & Trustee Meeting - Adare, Ireland