Expression of interest for our CIPSAC course

(Cerebra Intermediate Paediatric Sleep Advice Consultant)

If you would like information and to be considered for a place on one of our Sleep training courses please complete the following form.

"*" indicates required fields

Are you currently working?

Yes

What is the nature of your work? (So we can better understand your experience)

Dates

Please tick which date(s) you would be able to attend.

November 11-13, 2025 - Birmingham

March 2-23, 2026 - Virtual

Name*

Title First Last

Date of birth*

Required for the OCN learner registration.

Company name

Address*

Street Address Address Line 2 City County Postcode

Phone*

Email*

Purchase order number for invoice (if required)

Please tick to confirm that you agree to our privacy policy regarding how we use your information.*

I agree to the privacy policy

Would you like to receive news and updates on our services, research and campaigns.

Yes, I do want to receive updates by email

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