Book your place at our Rebuilding Lives Conference 2026

Please let us know more about your booking(Required)

I am booking one space for myself

I am booking a space for myself and others

I am booking spaces for others and not attending myself

How many people will be attending?(Required)

1-3

4-6

If you would like to book more than six additional tickets please email [email protected]

Please fill in your name and contact details below(Required)

First name Surname

Email(Required)

Please provide any specific dietary requirements(Required)

Are there any accessibility requirements?

Yes

Please provide any access requirements in the box below(Required)

Where do you work?(Required)

Delegate one - name and contact details

First name Last name

Delegate one - Email

Please provide any specific dietary requirements

Does this delegate have any accessibility requirements?

Yes

Please provide any access requirements in the box below

Delegate's place of work

Delegate two - name and contact details

First name Last name

Delegate two - Email

Please provide any specific dietary requirements

Does this delegate have any accessibility requirements?

Yes

Please provide any access requirements in the box below

Delegate's place of work

Delegate three - name and contact details

First name Last name

Delegate three - Email

Please provide any specific dietary requirements

Does this delegate have any accessibility requirements?

Yes

Please provide any access requirements in the box below

Delegate's place of work

Delegate four - name and contact details

First name Last name

Delegate four - Email

Please provide any specific dietary requirements

Does this delegate have any accessibility requirements?

Yes

Please provide any access requirements in the box below

Delegate's place of work

Delegate five - name and contact details

First name Last name

Delegate five - Email

Please provide any specific dietary requirements

Does this delegate have any accessibility requirements?

Yes

Please provide any access requirements in the box below

Delegate's place of work

Delegate six - name and contact details

First name Last name

Delegate six - Email

Please provide any specific dietary requirements

Does this delegate have any accessibility requirements?

Yes

Please provide any access requirements in the box below

Delegate's place of work

Delegate tickets are available at a reduced rate for charity workers, and NHS healthcare professionals(Required)

All attendees work for a charity

All attendees work for the NHS as a healthcare professional

Attendees do not work for a charity or the NHS

I would like to book a place(s) at the Rebuilding Lives Conference at the reduced delegate rate (Required)

If you are booking for other people please ensure that you have entered their details in the boxes above.

Price: £ 95.00

I would like to book a place(s) at the Rebuilding Lives Conference at the standard delegate rate (Required)

If you are booking for other people please ensure that you have entered their details in the boxes above.

Price: £ 295.00

Discount Code

Discount

£ 0.00

Discount

£ 0.00

Tax

£ 0.00

Total cost

Credit Card(Required)

Feed Required: To use the Stripe field, please create a Stripe feed for this form.

Your contact preferences

We would like to keep you informed about our campaigning and services, appeals and others ways you can support our work. Your support and involvement with SIA helps us to empower people with spinal cord injuries and their families to live fulfilled lives.

How would you like us to contact you?(Required)

Phone

Post

I do not wish to be contacted by SIA

Please provide a contact phone number below(Required)

Please provide your address details below(Required)

Street Address Town/City County Postcode

Why we will contact you
By joining SIA, you’ll receive information about our charitable activities and the support services we provide. Please let us know what other information you’d like to receive using the options below.
SIA Communications – regular updates concerning our work, including our campaigning, the events we organise and how you can support us now and in the future.
Training and Education – providing you with information about SIA’s training and education providing vital specialist expertise across the health and care sector.
The Voice – SIA's monthly email newsletter providing updates on all our activities.

Please tick below to let us know the type of communications you would like to receive from us:

SIA communications

Training and education

The Voice

Phone

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

Your contact preferences

Why we will contact you