*I consent to the details I am providing in this form being uploaded onto the European Cleft Gateway, a directory of resources supporting care, treatment and collaboration in areas of common clinical and scientific interest in the field of cleft lip and palate. I understand the details will be publicly accessible on the Gateway website www.gateway.europeancleft.org . The Gateway is administered by the European Cleft Organisation, a registered charity in the Netherlands www.europeancleft.org I attest that the details I am providing are true, accurate and current. I consent:---NOYES *I understand I can remove consent at any time and ask for my details to be modified or removed by contacting the European Cleft Organisation. *ECO is actively engaged in complying with all the new regulatory requirements of the General Data Protection Regulations. *I would like to receive newsletters and other mailings from the European Cleft Organisation I consent:---NOYES *If I am adding details of persons other than myself in my hospital/cleft centre/research unit, I acknowledge that I am authorised to do so: Yes * All fileds marked in blue are mandatory in order for your information to be registred in the gateway. Country * Name of patient group or NGO * Principle contact * Address * City * Description of your organisation Zip Code * Telephone * Email * Website Details of your staff: Add Are you affiliated with any Cleft Team or Cleft Center / Hospital? Yes No Are you affiliated with any other support groups / NGO’s? Yes No Are the affiliated support groups / NGOs' and / or the affiliated Cleft Centers / Teams already listed in the gateway? Yes No Is your organisation interested in taking part in research? NoYes Please tell us about any research that your organisation has been involved in or undertaken. Please add links and references to any published papers below if you are happy to share your research. Please add details of any missions, projects or partner hospitals below Add
