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Submitted URL: https://masterclassing-dot-yamm-track.appspot.com/2g36HPHLu0Q33zxZoMUBinl6LgpmGzBXMMIVEoJjouevQIGHfiQGaaAAesII17y6qVqg6ldFtlXg0BQ3iX5P21GTFp9VfbgC...
Effective URL: https://www.masterclassing.com/wellbeing-and-mental-health-masterclass-london-10-10-23
Submission: On August 10 via manual — Scanned from DE
Effective URL: https://www.masterclassing.com/wellbeing-and-mental-health-masterclass-london-10-10-23
Submission: On August 10 via manual — Scanned from DE
Form analysis 8 forms found in the DOM
POST /wellbeing-and-mental-health-masterclass-london-10-10-23
<form
class="webform-submission-form webform-submission-add-form webform-submission-register-form webform-submission-register-add-form webform-submission-register-node-1358-form webform-submission-register-node-1358-add-form js-webform-details-toggle webform-details-toggle"
autocomplete="off" data-drupal-selector="webform-submission-register-node-1358-add-form" action="/wellbeing-and-mental-health-masterclass-london-10-10-23" method="post" id="webform-submission-register-node-1358-add-form" accept-charset="UTF-8"
data-once="webformTracking form-updated cvJqueryValidate"
data-drupal-form-fields="edit-email-address,edit-first-name,edit-last-name,edit-job-title,edit-company,edit-work-phone,edit-interested-in-keynoting-at-future-events-yes,edit-interested-in-keynoting-at-future-events-no,edit-reasons-for-attending,edit-i-agree-information,edit-i-agree-cancel-fee,edit-virtual,edit-submit,edit-email"
novalidate="novalidate">
<div id="edit-markup" class="js-form-item form-item js-form-type-webform-markup form-type-webform-markup js-form-item-markup form-item-markup form-no-label">
<h3>Register for this event</h3>
</div>
<div class="container--scrollable js-form-wrapper form-wrapper" data-drupal-selector="edit-scrollable-container" id="edit-scrollable-container">
<div class="js-form-item form-item js-form-type-email form-type-email js-form-item-email-address form-item-email-address">
<label for="edit-email-address" class="js-form-required form-required">Work Email Address</label>
<input data-webform-required-error="This field is required" data-drupal-selector="edit-email-address" data-msg-email="Work Email Address does not contain a valid email." data-msg-maxlength="Work Email Address field has a maximum length of 254."
data-msg-required="This field is required" type="email" id="edit-email-address" name="email_address" value="" size="60" maxlength="254" class="form-email required" required="required" aria-required="true">
</div>
<div data-drupal-selector="edit-name" class="webform-flexbox js-webform-flexbox js-form-wrapper form-wrapper" id="edit-name">
<div class="webform-flex webform-flex--1">
<div class="webform-flex--container">
<div class="js-form-item form-item js-form-type-textfield form-type-textfield js-form-item-first-name form-item-first-name">
<label for="edit-first-name" class="js-form-required form-required">First Name</label>
<input data-webform-required-error="This field is required" data-drupal-selector="edit-first-name" data-msg-maxlength="First Name field has a maximum length of 255." data-msg-required="This field is required" type="text"
id="edit-first-name" name="first_name" value="" size="60" maxlength="255" class="form-text required" required="required" aria-required="true">
</div>
</div>
</div>
<div class="webform-flex webform-flex--1">
<div class="webform-flex--container">
<div class="js-form-item form-item js-form-type-textfield form-type-textfield js-form-item-last-name form-item-last-name">
<label for="edit-last-name" class="js-form-required form-required">Last Name</label>
<input data-webform-required-error="This field is required" data-drupal-selector="edit-last-name" data-msg-maxlength="Last Name field has a maximum length of 255." data-msg-required="This field is required" type="text" id="edit-last-name"
name="last_name" value="" size="60" maxlength="255" class="form-text required" required="required" aria-required="true">
</div>
</div>
</div>
</div>
<div class="js-form-item form-item js-form-type-textfield form-type-textfield js-form-item-job-title form-item-job-title">
<label for="edit-job-title" class="js-form-required form-required">Job Title</label>
<input data-webform-required-error="This field is required" data-drupal-selector="edit-job-title" data-msg-maxlength="Job Title field has a maximum length of 255." data-msg-required="This field is required" type="text" id="edit-job-title"
name="job_title" value="" size="60" maxlength="255" class="form-text required" required="required" aria-required="true">
</div>
<div class="js-form-item form-item js-form-type-textfield form-type-textfield js-form-item-company form-item-company">
<label for="edit-company" class="js-form-required form-required">Company</label>
<input data-webform-required-error="This field is required" data-drupal-selector="edit-company" data-msg-maxlength="Company field has a maximum length of 255." data-msg-required="This field is required" type="text" id="edit-company"
name="company" value="" size="60" maxlength="255" class="form-text required" required="required" aria-required="true">
</div>
<div class="js-form-item form-item js-form-type-tel form-type-tel js-form-item-work-phone form-item-work-phone">
<label for="edit-work-phone" class="js-form-required form-required">Work Phone</label>
<input data-webform-required-error="This field is required" data-drupal-selector="edit-work-phone" data-msg-maxlength="Work Phone field has a maximum length of 128." data-msg-required="This field is required" type="tel" id="edit-work-phone"
name="work_phone" value="" size="30" maxlength="128" class="form-tel required" required="required" aria-required="true">
</div>
<fieldset data-webform-required-error="This field is required" data-drupal-selector="edit-interested-in-keynoting-at-future-events" data-msg-required="This field is required" id="edit-interested-in-keynoting-at-future-events--wrapper"
class="radios--wrapper fieldgroup form-composite webform-composite-visible-title required js-webform-type-radios webform-type-radios js-form-item form-item js-form-wrapper form-wrapper">
<legend id="edit-interested-in-keynoting-at-future-events--wrapper-legend">
<span class="fieldset-legend js-form-required form-required">Would you like to present at a Masterclassing event?</span>
</legend>
<div class="fieldset-wrapper">
<div id="edit-interested-in-keynoting-at-future-events" class="js-webform-radios webform-options-display-side-by-side form-radios">
<div class="js-form-item form-item js-form-type-radio form-type-radio js-form-item-interested-in-keynoting-at-future-events form-item-interested-in-keynoting-at-future-events">
<input data-webform-required-error="This field is required" data-drupal-selector="edit-interested-in-keynoting-at-future-events-yes" type="radio" id="edit-interested-in-keynoting-at-future-events-yes"
name="interested_in_keynoting_at_future_events" value="Yes" class="form-radio" required="required" data-msg-required="This field is required">
<label for="edit-interested-in-keynoting-at-future-events-yes" class="option">Yes</label>
</div>
<div class="js-form-item form-item js-form-type-radio form-type-radio js-form-item-interested-in-keynoting-at-future-events form-item-interested-in-keynoting-at-future-events">
<input data-webform-required-error="This field is required" data-drupal-selector="edit-interested-in-keynoting-at-future-events-no" type="radio" id="edit-interested-in-keynoting-at-future-events-no"
name="interested_in_keynoting_at_future_events" value="No" class="form-radio" required="required" data-msg-required="This field is required">
<label for="edit-interested-in-keynoting-at-future-events-no" class="option">No</label>
</div>
</div>
</div>
</fieldset>
<div class="js-form-item form-item js-form-type-textarea form-type-textarea js-form-item-reasons-for-attending form-item-reasons-for-attending">
<label for="edit-reasons-for-attending" class="js-form-required form-required">Please provide a question you would like answered by our experts</label>
<div class="form-textarea-wrapper">
<textarea data-webform-required-error="This field is required" data-drupal-selector="edit-reasons-for-attending" data-msg-required="This field is required" id="edit-reasons-for-attending" name="reasons_for_attending" rows="5" cols="60"
placeholder="Enter your question here..." class="form-textarea required resize-vertical" required="required" aria-required="true"></textarea>
</div>
</div>
<fieldset class="terms-and-conditions js-webform-type-fieldset webform-type-fieldset js-form-item form-item js-form-wrapper form-wrapper" data-drupal-selector="edit-terms-and-conditions" id="edit-terms-and-conditions">
<legend>
<span class="visually-hidden fieldset-legend">Terms & Conditions</span>
</legend>
<div class="fieldset-wrapper">
<div class="js-form-item form-item js-form-type-checkbox form-type-checkbox js-form-item-i-agree-information form-item-i-agree-information form-no-label">
<input data-webform-required-error="Please agree with terms and conditions" data-drupal-selector="edit-i-agree-information" aria-describedby="edit-i-agree-information--description" data-msg-required="Please agree with terms and conditions"
type="checkbox" id="edit-i-agree-information" name="i_agree_information" value="1" class="form-checkbox required" required="required" aria-required="true">
<label for="edit-i-agree-information" class="option js-form-required form-required">
<div id="edit-i-agree-information--description" class="webform-element-description">I agree that the information provided above will be used and shared in accordance with Masterclassing's
<a href="/terms-and-conditions" target="_blank">Terms & Conditions</a> and <a href="/privacy-policy-cookies" target="_blank">Privacy Policy</a>.*</div>
</label>
</div>
<div class="js-webform-states-hidden js-form-item form-item js-form-type-checkbox form-type-checkbox js-form-item-i-agree-cancel-fee form-item-i-agree-cancel-fee form-no-label" style="display: block;">
<input data-webform-required-error="Please accept cancellation fee" data-drupal-selector="edit-i-agree-cancel-fee" aria-describedby="edit-i-agree-cancel-fee--description" data-msg-required="Please accept cancellation fee" type="checkbox"
id="edit-i-agree-cancel-fee" name="i_agree_cancel_fee" value="1" class="form-checkbox"
data-drupal-states="{"invisible":{".webform-submission-register-node-1358-add-form :input[name=\u0022virtual\u0022]":{"checked":true}},"optional":{".webform-submission-register-node-1358-add-form :input[name=\u0022virtual\u0022]":{"checked":true}}}"
required="required" aria-required="true">
<label for="edit-i-agree-cancel-fee" class="option js-form-required form-required">
<div id="edit-i-agree-cancel-fee--description" class="webform-element-description">Masterclassing is pleased to cover the cost of your ticket. By registering for this event you agree to attend. Non-attendance or cancellation within two
weeks of the event will result in a $200 (or equivalent) fee to cover the cost of your seat. The fee will be waived if a suitable colleague attends in your place. See
the <a href="https://www.masterclassing.com/terms-and-conditions" rel="noopener noreferrer" target="_blank">full T&Cs here</a>.*</div>
</label>
</div>
</div>
</fieldset>
</div>
<fieldset class="js-hidden hidden js-webform-type-fieldset webform-type-fieldset js-form-item form-item js-form-wrapper form-wrapper" data-drupal-selector="edit-event-information" id="edit-event-information">
<legend>
<span class="visually-hidden fieldset-legend">Event Information</span>
</legend>
<div class="fieldset-wrapper">
<input data-drupal-selector="edit-event-id" type="hidden" name="event_id" value="1358">
<input data-drupal-selector="edit-google-sheet-id" type="hidden" name="google_sheet_id" value="">
<input data-drupal-selector="edit-google-sheet-title" type="hidden" name="google_sheet_title" value="">
<div class="js-hidden hidden js-form-item form-item js-form-type-checkbox form-type-checkbox js-form-item-virtual form-item-virtual form-no-label">
<input data-drupal-selector="edit-virtual" type="checkbox" id="edit-virtual" name="virtual" value="1" class="form-checkbox">
</div>
</div>
</fieldset>
<input autocomplete="off" data-drupal-selector="form-jyv7wxgxfhzw-g5cs1dnun-jd4qtq9bjqf70jltr5ik" type="hidden" name="form_build_id" value="form-JYv7wxGXFHZw_g5cS1dNuN-Jd4qTq9bjqf70jLTR5ik">
<input data-drupal-selector="edit-webform-submission-register-node-1358-add-form" type="hidden" name="form_id" value="webform_submission_register_node_1358_add_form">
<div data-drupal-selector="edit-actions" class="form-actions js-form-wrapper form-wrapper" id="edit-actions">
<div class="required-fields-disclaimer">*required fields</div><input class="webform-button--submit button button--primary js-form-submit form-submit cv-validate-before-ajax" data-drupal-selector="edit-submit" data-disable-refocus="true"
type="submit" id="edit-submit" name="op" value="Register" data-once="drupal-ajax">
</div>
<div class="email-textfield js-form-wrapper form-wrapper" style="display: none !important;">
<div class="js-form-item form-item js-form-type-textfield form-type-textfield js-form-item-email form-item-email">
<label for="edit-email">Leave this field blank</label>
<input autocomplete="off" data-drupal-selector="edit-email" data-msg-maxlength="Leave this field blank field has a maximum length of 128." type="text" id="edit-email" name="email" value="" size="20" maxlength="128" class="form-text">
</div>
</div>
</form>POST /wellbeing-and-mental-health-masterclass-london-10-10-23
<form class="more-events" data-drupal-selector="masterclassing-registrations-more" action="/wellbeing-and-mental-health-masterclass-london-10-10-23" method="post" id="masterclassing-registrations-more" accept-charset="UTF-8"
data-once="webformTracking form-updated cvJqueryValidate" data-drupal-form-fields="" novalidate="novalidate">
<input data-drupal-selector="edit-wrapper-id" type="hidden" name="wrapper_id" value="register-more-events-form">
<input data-drupal-selector="edit-webform-sid" type="hidden" name="webform_sid">
<input data-drupal-selector="edit-webform-token" type="hidden" name="webform_token">
<input autocomplete="off" data-drupal-selector="form-i87ck25h6vhbyk-y0dkm7v1fugghwn3-7gov0cn9ork" type="hidden" name="form_build_id" value="form-i87cK25h6VHByk_y0Dkm7V1fUgGHWn3-7gOv0Cn9ork">
<input data-drupal-selector="edit-masterclassing-registrations-more" type="hidden" name="form_id" value="masterclassing_registrations_more">
</form>POST /wellbeing-and-mental-health-masterclass-london-10-10-23
<form
class="webform-submission-form webform-submission-add-form webform-submission-register-form webform-submission-register-add-form webform-submission-register-block-webform_register-form webform-submission-register-block-webform_register-add-form webform-submission-register-block-webform-register-add-form js-webform-details-toggle webform-details-toggle"
autocomplete="off" data-drupal-selector="webform-submission-register-block-webform-register-add-form" action="/wellbeing-and-mental-health-masterclass-london-10-10-23" method="post" id="webform-submission-register-block-webform-register-add-form"
accept-charset="UTF-8" data-once="webformTracking form-updated cvJqueryValidate"
data-drupal-form-fields="edit-email-address--2,edit-first-name--2,edit-last-name--2,edit-job-title--2,edit-company--2,edit-work-phone--2,edit-interested-in-keynoting-at-future-events-yes--2,edit-interested-in-keynoting-at-future-events-no--2,edit-reasons-for-attending--2,edit-i-agree-information--2,edit-i-agree-cancel-fee--2,edit-virtual--2,edit-submit--2,edit-email--2"
novalidate="novalidate">
<div id="edit-markup--2" class="js-form-item form-item js-form-type-webform-markup form-type-webform-markup js-form-item-markup form-item-markup form-no-label">
<h3>Register for this event</h3>
</div>
<div class="container--scrollable js-form-wrapper form-wrapper" data-drupal-selector="edit-scrollable-container" id="edit-scrollable-container--2">
<div class="js-form-item form-item js-form-type-email form-type-email js-form-item-email-address form-item-email-address">
<label for="edit-email-address--2" class="js-form-required form-required">Work Email Address</label>
<input data-webform-required-error="This field is required" data-drupal-selector="edit-email-address" data-msg-email="Work Email Address does not contain a valid email." data-msg-maxlength="Work Email Address field has a maximum length of 254."
data-msg-required="This field is required" type="email" id="edit-email-address--2" name="email_address" value="" size="60" maxlength="254" class="form-email required" required="required" aria-required="true">
</div>
<div data-drupal-selector="edit-name" class="webform-flexbox js-webform-flexbox js-form-wrapper form-wrapper" id="edit-name--2">
<div class="webform-flex webform-flex--1">
<div class="webform-flex--container">
<div class="js-form-item form-item js-form-type-textfield form-type-textfield js-form-item-first-name form-item-first-name">
<label for="edit-first-name--2" class="js-form-required form-required">First Name</label>
<input data-webform-required-error="This field is required" data-drupal-selector="edit-first-name" data-msg-maxlength="First Name field has a maximum length of 255." data-msg-required="This field is required" type="text"
id="edit-first-name--2" name="first_name" value="" size="60" maxlength="255" class="form-text required" required="required" aria-required="true">
</div>
</div>
</div>
<div class="webform-flex webform-flex--1">
<div class="webform-flex--container">
<div class="js-form-item form-item js-form-type-textfield form-type-textfield js-form-item-last-name form-item-last-name">
<label for="edit-last-name--2" class="js-form-required form-required">Last Name</label>
<input data-webform-required-error="This field is required" data-drupal-selector="edit-last-name" data-msg-maxlength="Last Name field has a maximum length of 255." data-msg-required="This field is required" type="text"
id="edit-last-name--2" name="last_name" value="" size="60" maxlength="255" class="form-text required" required="required" aria-required="true">
</div>
</div>
</div>
</div>
<div class="js-form-item form-item js-form-type-textfield form-type-textfield js-form-item-job-title form-item-job-title">
<label for="edit-job-title--2" class="js-form-required form-required">Job Title</label>
<input data-webform-required-error="This field is required" data-drupal-selector="edit-job-title" data-msg-maxlength="Job Title field has a maximum length of 255." data-msg-required="This field is required" type="text" id="edit-job-title--2"
name="job_title" value="" size="60" maxlength="255" class="form-text required" required="required" aria-required="true">
</div>
<div class="js-form-item form-item js-form-type-textfield form-type-textfield js-form-item-company form-item-company">
<label for="edit-company--2" class="js-form-required form-required">Company</label>
<input data-webform-required-error="This field is required" data-drupal-selector="edit-company" data-msg-maxlength="Company field has a maximum length of 255." data-msg-required="This field is required" type="text" id="edit-company--2"
name="company" value="" size="60" maxlength="255" class="form-text required" required="required" aria-required="true">
</div>
<div class="js-form-item form-item js-form-type-tel form-type-tel js-form-item-work-phone form-item-work-phone">
<label for="edit-work-phone--2" class="js-form-required form-required">Work Phone</label>
<input data-webform-required-error="This field is required" data-drupal-selector="edit-work-phone" data-msg-maxlength="Work Phone field has a maximum length of 128." data-msg-required="This field is required" type="tel" id="edit-work-phone--2"
name="work_phone" value="" size="30" maxlength="128" class="form-tel required" required="required" aria-required="true">
</div>
<fieldset data-webform-required-error="This field is required" data-drupal-selector="edit-interested-in-keynoting-at-future-events" data-msg-required="This field is required" id="edit-interested-in-keynoting-at-future-events--2--wrapper"
class="radios--wrapper fieldgroup form-composite webform-composite-visible-title required js-webform-type-radios webform-type-radios js-form-item form-item js-form-wrapper form-wrapper">
<legend id="edit-interested-in-keynoting-at-future-events--2--wrapper-legend">
<span class="fieldset-legend js-form-required form-required">Would you like to present at a Masterclassing event?</span>
</legend>
<div class="fieldset-wrapper">
<div id="edit-interested-in-keynoting-at-future-events--2" class="js-webform-radios webform-options-display-side-by-side form-radios">
<div class="js-form-item form-item js-form-type-radio form-type-radio js-form-item-interested-in-keynoting-at-future-events form-item-interested-in-keynoting-at-future-events">
<input data-webform-required-error="This field is required" data-drupal-selector="edit-interested-in-keynoting-at-future-events-yes-2" type="radio" id="edit-interested-in-keynoting-at-future-events-yes--2"
name="interested_in_keynoting_at_future_events" value="Yes" class="form-radio" required="required" data-msg-required="This field is required">
<label for="edit-interested-in-keynoting-at-future-events-yes--2" class="option">Yes</label>
</div>
<div class="js-form-item form-item js-form-type-radio form-type-radio js-form-item-interested-in-keynoting-at-future-events form-item-interested-in-keynoting-at-future-events">
<input data-webform-required-error="This field is required" data-drupal-selector="edit-interested-in-keynoting-at-future-events-no-2" type="radio" id="edit-interested-in-keynoting-at-future-events-no--2"
name="interested_in_keynoting_at_future_events" value="No" class="form-radio" required="required" data-msg-required="This field is required">
<label for="edit-interested-in-keynoting-at-future-events-no--2" class="option">No</label>
</div>
</div>
</div>
</fieldset>
<div class="js-form-item form-item js-form-type-textarea form-type-textarea js-form-item-reasons-for-attending form-item-reasons-for-attending">
<label for="edit-reasons-for-attending--2" class="js-form-required form-required">Please provide a question you would like answered by our experts</label>
<div class="form-textarea-wrapper">
<textarea data-webform-required-error="This field is required" data-drupal-selector="edit-reasons-for-attending" data-msg-required="This field is required" id="edit-reasons-for-attending--2" name="reasons_for_attending" rows="5" cols="60"
placeholder="Enter your question here..." class="form-textarea required resize-vertical" required="required" aria-required="true"></textarea>
</div>
</div>
<fieldset class="terms-and-conditions js-webform-type-fieldset webform-type-fieldset js-form-item form-item js-form-wrapper form-wrapper" data-drupal-selector="edit-terms-and-conditions" id="edit-terms-and-conditions--2">
<legend>
<span class="visually-hidden fieldset-legend">Terms & Conditions</span>
</legend>
<div class="fieldset-wrapper">
<div class="js-form-item form-item js-form-type-checkbox form-type-checkbox js-form-item-i-agree-information form-item-i-agree-information form-no-label">
<input data-webform-required-error="Please agree with terms and conditions" data-drupal-selector="edit-i-agree-information" aria-describedby="edit-i-agree-information--2--description"
data-msg-required="Please agree with terms and conditions" type="checkbox" id="edit-i-agree-information--2" name="i_agree_information" value="1" class="form-checkbox required" required="required" aria-required="true">
<label for="edit-i-agree-information--2" class="option js-form-required form-required">
<div id="edit-i-agree-information--2--description" class="webform-element-description">I agree that the information provided above will be used and shared in accordance with Masterclassing's
<a href="/terms-and-conditions" target="_blank">Terms & Conditions</a> and <a href="/privacy-policy-cookies" target="_blank">Privacy Policy</a>.*</div>
</label>
</div>
<div class="js-webform-states-hidden js-form-item form-item js-form-type-checkbox form-type-checkbox js-form-item-i-agree-cancel-fee form-item-i-agree-cancel-fee form-no-label" style="display: block;">
<input data-webform-required-error="Please accept cancellation fee" data-drupal-selector="edit-i-agree-cancel-fee" aria-describedby="edit-i-agree-cancel-fee--2--description" data-msg-required="Please accept cancellation fee" type="checkbox"
id="edit-i-agree-cancel-fee--2" name="i_agree_cancel_fee" value="1" class="form-checkbox"
data-drupal-states="{"invisible":{".webform-submission-register-block-webform_register-add-form :input[name=\u0022virtual\u0022]":{"checked":true}},"optional":{".webform-submission-register-block-webform_register-add-form :input[name=\u0022virtual\u0022]":{"checked":true}}}"
required="required" aria-required="true">
<label for="edit-i-agree-cancel-fee--2" class="option js-form-required form-required">
<div id="edit-i-agree-cancel-fee--2--description" class="webform-element-description">Masterclassing is pleased to cover the cost of your ticket. By registering for this event you agree to attend. Non-attendance or cancellation within two
weeks of the event will result in a $200 (or equivalent) fee to cover the cost of your seat. The fee will be waived if a suitable colleague attends in your place. See
the <a href="https://www.masterclassing.com/terms-and-conditions" rel="noopener noreferrer" target="_blank">full T&Cs here</a>.*</div>
</label>
</div>
</div>
</fieldset>
</div>
<fieldset class="js-hidden hidden js-webform-type-fieldset webform-type-fieldset js-form-item form-item js-form-wrapper form-wrapper" data-drupal-selector="edit-event-information" id="edit-event-information--2">
<legend>
<span class="visually-hidden fieldset-legend">Event Information</span>
</legend>
<div class="fieldset-wrapper">
<input data-drupal-selector="edit-event-id" type="hidden" name="event_id" value="1358">
<input data-drupal-selector="edit-google-sheet-id" type="hidden" name="google_sheet_id" value="">
<input data-drupal-selector="edit-google-sheet-title" type="hidden" name="google_sheet_title" value="">
<div class="js-hidden hidden js-form-item form-item js-form-type-checkbox form-type-checkbox js-form-item-virtual form-item-virtual form-no-label">
<input data-drupal-selector="edit-virtual" type="checkbox" id="edit-virtual--2" name="virtual" value="1" class="form-checkbox">
</div>
</div>
</fieldset>
<input autocomplete="off" data-drupal-selector="form-r3btued-j2f6loxifwr8sx2ftbazfysm1qrs2qkipzc" type="hidden" name="form_build_id" value="form-R3bTueD-J2f6loXIFWR8SX2ftbAZFYsm1QrS2QKipZc">
<input data-drupal-selector="edit-webform-submission-register-block-webform-register-add-form" type="hidden" name="form_id" value="webform_submission_register_block_webform_register_add_form">
<div data-drupal-selector="edit-actions" class="form-actions js-form-wrapper form-wrapper" id="edit-actions--2">
<div class="required-fields-disclaimer">*required fields</div><input class="webform-button--submit button button--primary js-form-submit form-submit cv-validate-before-ajax" data-drupal-selector="edit-submit" data-disable-refocus="true"
type="submit" id="edit-submit--2" name="op" value="Register" data-once="drupal-ajax">
</div>
<div class="email-textfield js-form-wrapper form-wrapper" style="display: none !important;">
<div class="js-form-item form-item js-form-type-textfield form-type-textfield js-form-item-email form-item-email">
<label for="edit-email--2">Leave this field blank</label>
<input autocomplete="off" data-drupal-selector="edit-email" data-msg-maxlength="Leave this field blank field has a maximum length of 128." type="text" id="edit-email--2" name="email" value="" size="20" maxlength="128" class="form-text">
</div>
</div>
</form>POST /wellbeing-and-mental-health-masterclass-london-10-10-23
<form class="more-events" data-drupal-selector="masterclassing-registrations-more-2" action="/wellbeing-and-mental-health-masterclass-london-10-10-23" method="post" id="masterclassing-registrations-more--2" accept-charset="UTF-8"
data-once="webformTracking form-updated cvJqueryValidate" data-drupal-form-fields="" novalidate="novalidate">
<input data-drupal-selector="edit-wrapper-id" type="hidden" name="wrapper_id" value="register-more-events-form--2">
<input data-drupal-selector="edit-webform-sid" type="hidden" name="webform_sid">
<input data-drupal-selector="edit-webform-token" type="hidden" name="webform_token">
<input autocomplete="off" data-drupal-selector="form-w1dc3fk28ra8p-n37lvsnfhtjuck6mro9cwcqjnavcw" type="hidden" name="form_build_id" value="form-w1dc3FK28Ra8p_n37LVSnfHtjUck6mro9CwCqJNavCw">
<input data-drupal-selector="edit-masterclassing-registrations-more-2" type="hidden" name="form_id" value="masterclassing_registrations_more">
</form>POST /wellbeing-and-mental-health-masterclass-london-10-10-23
<form
class="webform-submission-form webform-submission-add-form webform-submission-apply-to-speak-form webform-submission-apply-to-speak-add-form webform-submission-apply-to-speak-block-webform_2-form webform-submission-apply-to-speak-block-webform_2-add-form webform-submission-apply-to-speak-block-webform-2-add-form js-webform-details-toggle webform-details-toggle apply-to-speak__form"
data-drupal-selector="webform-submission-apply-to-speak-block-webform-2-add-form" action="/wellbeing-and-mental-health-masterclass-london-10-10-23" method="post" id="webform-submission-apply-to-speak-block-webform-2-add-form" accept-charset="UTF-8"
data-once="webformTracking form-updated cvJqueryValidate"
data-drupal-form-fields="edit-email-address--3,edit-first-name--3,edit-last-name--3,edit-job-title--3,edit-company--3,edit-work-phone--3,edit-is-there-a-particular-event-you-d-like-to-speak-at-yes,edit-is-there-a-particular-event-you-d-like-to-speak-at-no,edit-is-there-a-particular-event-you-d-like-to-speak-at-not-sure,edit-comments,edit-i-agree-information--3,edit-submit--3,edit-email--3"
novalidate="novalidate">
<div id="edit-body" class="js-form-item form-item js-form-type-webform-markup form-type-webform-markup js-form-item-body form-item-body form-no-label">
<h3>Apply to Speak<br>
<span>If you're interested in speaking, please share your details below and a member of our team will be in touch!</span>
</h3>
</div>
<div class="container--scrollable js-form-wrapper form-wrapper" data-drupal-selector="edit-container" id="edit-container">
<div class="js-form-item form-item js-form-type-email form-type-email js-form-item-email-address form-item-email-address">
<label for="edit-email-address--3" class="js-form-required form-required">Work Email Address</label>
<input autocomplete="off" data-drupal-selector="edit-email-address" data-msg-email="Work Email Address does not contain a valid email." data-msg-maxlength="Work Email Address field has a maximum length of 254."
data-msg-required="Work Email Address field is required." type="email" id="edit-email-address--3" name="email_address" value="" size="60" maxlength="254" class="form-email required" required="required" aria-required="true">
</div>
<div data-drupal-selector="edit-name" class="webform-flexbox js-webform-flexbox js-form-wrapper form-wrapper" id="edit-name--3">
<div class="webform-flex webform-flex--1">
<div class="webform-flex--container">
<div class="js-form-item form-item js-form-type-textfield form-type-textfield js-form-item-first-name form-item-first-name">
<label for="edit-first-name--3" class="js-form-required form-required">First name</label>
<input autocomplete="off" data-drupal-selector="edit-first-name" data-msg-maxlength="First name field has a maximum length of 255." data-msg-required="First name field is required." type="text" id="edit-first-name--3" name="first_name"
value="" size="60" maxlength="255" class="form-text required" required="required" aria-required="true">
</div>
</div>
</div>
<div class="webform-flex webform-flex--1">
<div class="webform-flex--container">
<div class="js-form-item form-item js-form-type-textfield form-type-textfield js-form-item-last-name form-item-last-name">
<label for="edit-last-name--3" class="js-form-required form-required">Last Name</label>
<input autocomplete="off" data-drupal-selector="edit-last-name" data-msg-maxlength="Last Name field has a maximum length of 255." data-msg-required="Last Name field is required." type="text" id="edit-last-name--3" name="last_name"
value="" size="60" maxlength="255" class="form-text required" required="required" aria-required="true">
</div>
</div>
</div>
</div>
<div class="js-form-item form-item js-form-type-textfield form-type-textfield js-form-item-job-title form-item-job-title">
<label for="edit-job-title--3" class="js-form-required form-required">Job Title</label>
<input autocomplete="off" data-drupal-selector="edit-job-title" data-msg-maxlength="Job Title field has a maximum length of 255." data-msg-required="Job Title field is required." type="text" id="edit-job-title--3" name="job_title" value=""
size="60" maxlength="255" class="form-text required" required="required" aria-required="true">
</div>
<div class="js-form-item form-item js-form-type-textfield form-type-textfield js-form-item-company form-item-company">
<label for="edit-company--3" class="js-form-required form-required">Company</label>
<input autocomplete="off" data-drupal-selector="edit-company" data-msg-maxlength="Company field has a maximum length of 255." data-msg-required="Company field is required." type="text" id="edit-company--3" name="company" value="" size="60"
maxlength="255" class="form-text required" required="required" aria-required="true">
</div>
<div class="js-form-item form-item js-form-type-tel form-type-tel js-form-item-work-phone form-item-work-phone">
<label for="edit-work-phone--3" class="js-form-required form-required">Work Phone</label>
<input autocomplete="off" data-drupal-selector="edit-work-phone" data-msg-maxlength="Work Phone field has a maximum length of 128." data-msg-required="Work Phone field is required." type="tel" id="edit-work-phone--3" name="work_phone" value=""
size="30" maxlength="128" class="form-tel required" required="required" aria-required="true">
</div>
<fieldset data-drupal-selector="edit-is-there-a-particular-event-you-d-like-to-speak-at" data-msg-required="Is there a particular event you’d like to speak at? field is required."
id="edit-is-there-a-particular-event-you-d-like-to-speak-at--wrapper"
class="radios--wrapper fieldgroup form-composite webform-composite-visible-title required js-webform-type-radios webform-type-radios js-form-item form-item js-form-wrapper form-wrapper">
<legend id="edit-is-there-a-particular-event-you-d-like-to-speak-at--wrapper-legend">
<span class="fieldset-legend js-form-required form-required">Is there a particular event you’d like to speak at?</span>
</legend>
<div class="fieldset-wrapper">
<div id="edit-is-there-a-particular-event-you-d-like-to-speak-at" class="js-webform-radios webform-options-display-side-by-side form-radios">
<div class="js-form-item form-item js-form-type-radio form-type-radio js-form-item-is-there-a-particular-event-you-d-like-to-speak-at form-item-is-there-a-particular-event-you-d-like-to-speak-at">
<input data-drupal-selector="edit-is-there-a-particular-event-you-d-like-to-speak-at-yes" type="radio" id="edit-is-there-a-particular-event-you-d-like-to-speak-at-yes" name="is_there_a_particular_event_you_d_like_to_speak_at" value="Yes"
class="form-radio" required="required" data-msg-required="Is there a particular event you’d like to speak at? field is required.">
<label for="edit-is-there-a-particular-event-you-d-like-to-speak-at-yes" class="option">Yes</label>
</div>
<div class="js-form-item form-item js-form-type-radio form-type-radio js-form-item-is-there-a-particular-event-you-d-like-to-speak-at form-item-is-there-a-particular-event-you-d-like-to-speak-at">
<input data-drupal-selector="edit-is-there-a-particular-event-you-d-like-to-speak-at-no" type="radio" id="edit-is-there-a-particular-event-you-d-like-to-speak-at-no" name="is_there_a_particular_event_you_d_like_to_speak_at" value="No"
class="form-radio" required="required" data-msg-required="Is there a particular event you’d like to speak at? field is required.">
<label for="edit-is-there-a-particular-event-you-d-like-to-speak-at-no" class="option">No</label>
</div>
<div class="js-form-item form-item js-form-type-radio form-type-radio js-form-item-is-there-a-particular-event-you-d-like-to-speak-at form-item-is-there-a-particular-event-you-d-like-to-speak-at">
<input data-drupal-selector="edit-is-there-a-particular-event-you-d-like-to-speak-at-not-sure" type="radio" id="edit-is-there-a-particular-event-you-d-like-to-speak-at-not-sure" name="is_there_a_particular_event_you_d_like_to_speak_at"
value="Not Sure" class="form-radio" required="required" data-msg-required="Is there a particular event you’d like to speak at? field is required.">
<label for="edit-is-there-a-particular-event-you-d-like-to-speak-at-not-sure" class="option">Not Sure</label>
</div>
</div>
</div>
</fieldset>
<div class="js-form-item form-item js-form-type-textarea form-type-textarea js-form-item-comments form-item-comments">
<label for="edit-comments">Do you have any comments?</label>
<div class="form-textarea-wrapper">
<textarea autocomplete="off" data-drupal-selector="edit-comments" id="edit-comments" name="comments" rows="2" cols="60" placeholder="Enter your comments here..." class="form-textarea resize-vertical"></textarea>
</div>
</div>
<fieldset class="terms-and-conditions js-webform-type-fieldset webform-type-fieldset js-form-item form-item js-form-wrapper form-wrapper" data-drupal-selector="edit-terms-and-conditions" id="edit-terms-and-conditions--3">
<legend>
<span class="visually-hidden fieldset-legend">Terms & Conditions</span>
</legend>
<div class="fieldset-wrapper">
<div class="js-form-item form-item js-form-type-checkbox form-type-checkbox js-form-item-i-agree-information form-item-i-agree-information form-no-label">
<input data-webform-required-error="Please agree with terms and conditions" data-drupal-selector="edit-i-agree-information" aria-describedby="edit-i-agree-information--3--description"
data-msg-required="Please agree with terms and conditions" type="checkbox" id="edit-i-agree-information--3" name="i_agree_information" value="1" class="form-checkbox required" required="required" aria-required="true">
<label for="edit-i-agree-information--3" class="option js-form-required form-required">
<div id="edit-i-agree-information--3--description" class="webform-element-description">I agree that the information provided above will be used and shared in accordance with Masterclassing's
<a href="/terms-and-conditions" target="_blank">Terms & Conditions</a> and <a href="/privacy-policy-cookies" target="_blank">Privacy Policy</a>.*</div>
</label>
</div>
</div>
</fieldset>
</div>
<input autocomplete="off" data-drupal-selector="form-jhizeqvg7q3nbkjy2kjtpe6kyjsm3diaso9dwdfamvk" type="hidden" name="form_build_id" value="form-JhIzEQVG7q3nbKJy2KjTpe6kYjSM3DIaSo9DWDfAMvk">
<input data-drupal-selector="edit-webform-submission-apply-to-speak-block-webform-2-add-form" type="hidden" name="form_id" value="webform_submission_apply_to_speak_block_webform_2_add_form">
<div data-drupal-selector="edit-actions" class="form-actions js-form-wrapper form-wrapper" id="edit-actions--3">
<div class="required-fields-disclaimer">*required fields</div><input class="webform-button--submit button button--primary js-form-submit form-submit cv-validate-before-ajax" data-drupal-selector="edit-submit" data-disable-refocus="true"
type="submit" id="edit-submit--3" name="op" value="Submit" data-once="drupal-ajax">
</div>
<div class="email-textfield js-form-wrapper form-wrapper" style="display: none !important;">
<div class="js-form-item form-item js-form-type-textfield form-type-textfield js-form-item-email form-item-email">
<label for="edit-email--3">Leave this field blank</label>
<input autocomplete="off" data-drupal-selector="edit-email" data-msg-maxlength="Leave this field blank field has a maximum length of 128." type="text" id="edit-email--3" name="email" value="" size="20" maxlength="128" class="form-text">
</div>
</div>
</form>POST /wellbeing-and-mental-health-masterclass-london-10-10-23
<form
class="webform-submission-form webform-submission-add-form webform-submission-become-an-expert-form webform-submission-become-an-expert-add-form webform-submission-become-an-expert-block-webform_become_an_expert-form webform-submission-become-an-expert-block-webform_become_an_expert-add-form webform-submission-become-an-expert-block-webform-become-an-expert-add-form js-webform-details-toggle webform-details-toggle apply-to-speak__form"
data-drupal-selector="webform-submission-become-an-expert-block-webform-become-an-expert-add-form" action="/wellbeing-and-mental-health-masterclass-london-10-10-23" method="post"
id="webform-submission-become-an-expert-block-webform-become-an-expert-add-form" accept-charset="UTF-8" data-once="webformTracking form-updated cvJqueryValidate"
data-drupal-form-fields="edit-email-address--4,edit-first-name--4,edit-last-name--4,edit-job-title--4,edit-company--4,edit-work-phone--4,edit-is-there-a-particular-event-you-d-like-to-speak-at-yes--2,edit-is-there-a-particular-event-you-d-like-to-speak-at-no--2,edit-is-there-a-particular-event-you-d-like-to-speak-at-not-sure--2,edit-comments--2,edit-i-agree-information--4,edit-submit--4,edit-email--4"
novalidate="novalidate">
<div id="edit-body--2" class="js-form-item form-item js-form-type-webform-markup form-type-webform-markup js-form-item-body form-item-body form-no-label">
<h3>Become an Expert<br>
<span>Interested in becoming one of our experts?</span>
</h3>
</div>
<div class="container--scrollable js-form-wrapper form-wrapper" data-drupal-selector="edit-container" id="edit-container--2">
<div class="js-form-item form-item js-form-type-email form-type-email js-form-item-email-address form-item-email-address">
<label for="edit-email-address--4" class="js-form-required form-required">Work Email Address</label>
<input autocomplete="off" data-drupal-selector="edit-email-address" data-msg-email="Work Email Address does not contain a valid email." data-msg-maxlength="Work Email Address field has a maximum length of 254."
data-msg-required="Work Email Address field is required." type="email" id="edit-email-address--4" name="email_address" value="" size="60" maxlength="254" class="form-email required" required="required" aria-required="true">
</div>
<div data-drupal-selector="edit-name" class="webform-flexbox js-webform-flexbox js-form-wrapper form-wrapper" id="edit-name--4">
<div class="webform-flex webform-flex--1">
<div class="webform-flex--container">
<div class="js-form-item form-item js-form-type-textfield form-type-textfield js-form-item-first-name form-item-first-name">
<label for="edit-first-name--4" class="js-form-required form-required">First name</label>
<input autocomplete="off" data-drupal-selector="edit-first-name" data-msg-maxlength="First name field has a maximum length of 255." data-msg-required="First name field is required." type="text" id="edit-first-name--4" name="first_name"
value="" size="60" maxlength="255" class="form-text required" required="required" aria-required="true">
</div>
</div>
</div>
<div class="webform-flex webform-flex--1">
<div class="webform-flex--container">
<div class="js-form-item form-item js-form-type-textfield form-type-textfield js-form-item-last-name form-item-last-name">
<label for="edit-last-name--4" class="js-form-required form-required">Last Name</label>
<input autocomplete="off" data-drupal-selector="edit-last-name" data-msg-maxlength="Last Name field has a maximum length of 255." data-msg-required="Last Name field is required." type="text" id="edit-last-name--4" name="last_name"
value="" size="60" maxlength="255" class="form-text required" required="required" aria-required="true">
</div>
</div>
</div>
</div>
<div class="js-form-item form-item js-form-type-textfield form-type-textfield js-form-item-job-title form-item-job-title">
<label for="edit-job-title--4" class="js-form-required form-required">Job Title</label>
<input autocomplete="off" data-drupal-selector="edit-job-title" data-msg-maxlength="Job Title field has a maximum length of 255." data-msg-required="Job Title field is required." type="text" id="edit-job-title--4" name="job_title" value=""
size="60" maxlength="255" class="form-text required" required="required" aria-required="true">
</div>
<div class="js-form-item form-item js-form-type-textfield form-type-textfield js-form-item-company form-item-company">
<label for="edit-company--4" class="js-form-required form-required">Company</label>
<input autocomplete="off" data-drupal-selector="edit-company" data-msg-maxlength="Company field has a maximum length of 255." data-msg-required="Company field is required." type="text" id="edit-company--4" name="company" value="" size="60"
maxlength="255" class="form-text required" required="required" aria-required="true">
</div>
<div class="js-form-item form-item js-form-type-tel form-type-tel js-form-item-work-phone form-item-work-phone">
<label for="edit-work-phone--4" class="js-form-required form-required">Work Phone</label>
<input autocomplete="off" data-drupal-selector="edit-work-phone" data-msg-maxlength="Work Phone field has a maximum length of 128." data-msg-required="Work Phone field is required." type="tel" id="edit-work-phone--4" name="work_phone" value=""
size="30" maxlength="128" class="form-tel required" required="required" aria-required="true">
</div>
<fieldset data-drupal-selector="edit-is-there-a-particular-event-you-d-like-to-speak-at" data-msg-required="Is there a particular event you’d like to speak at? field is required."
id="edit-is-there-a-particular-event-you-d-like-to-speak-at--2--wrapper"
class="radios--wrapper fieldgroup form-composite webform-composite-visible-title required js-webform-type-radios webform-type-radios js-form-item form-item js-form-wrapper form-wrapper">
<legend id="edit-is-there-a-particular-event-you-d-like-to-speak-at--2--wrapper-legend">
<span class="fieldset-legend js-form-required form-required">Is there a particular event you’d like to speak at?</span>
</legend>
<div class="fieldset-wrapper">
<div id="edit-is-there-a-particular-event-you-d-like-to-speak-at--2" class="js-webform-radios webform-options-display-side-by-side form-radios">
<div class="js-form-item form-item js-form-type-radio form-type-radio js-form-item-is-there-a-particular-event-you-d-like-to-speak-at form-item-is-there-a-particular-event-you-d-like-to-speak-at">
<input data-drupal-selector="edit-is-there-a-particular-event-you-d-like-to-speak-at-yes-2" type="radio" id="edit-is-there-a-particular-event-you-d-like-to-speak-at-yes--2" name="is_there_a_particular_event_you_d_like_to_speak_at"
value="Yes" class="form-radio" required="required" data-msg-required="Is there a particular event you’d like to speak at? field is required.">
<label for="edit-is-there-a-particular-event-you-d-like-to-speak-at-yes--2" class="option">Yes</label>
</div>
<div class="js-form-item form-item js-form-type-radio form-type-radio js-form-item-is-there-a-particular-event-you-d-like-to-speak-at form-item-is-there-a-particular-event-you-d-like-to-speak-at">
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</form>Text Content
Skip to main content Masterclassing Europe * Global * North America * UK * Europe * Middle East * APAC In-Person Event HR WELLBEING AND MENTAL HEALTH MASTERCLASS Where View on Map London - Home Grown Club, W1H 7BS When Sep 20, 2023 9:00am - 12:45pm We know the importance of promoting wellbeing at work – and we also know the challenges. Our In-Person Wellbeing and Mental Health Masterclass will take you on a deep dive into how you can destigmatise mental health and develop a supportive culture with wellbeing at it’s core. With expert presentations and intimate roundtable discussions, our interactive half day event is the perfect forum for you to connect with other HR leaders, exchange ideas, and find real solutions. Our ethos is simple. We want you to be an active participant. That’s why we’ve developed a format designed to optimise interaction and engagement. We start our In-Person Wellbeing and Mental Health Masterclass with a series of 10 minute expert presentations before moving on to our expert-led roundtable discussions. Each roundtable lasts 20 minutes. When the time’s up, the expert at your table will move on and you’ll be joined by a brand new speaker. These intimate 20 minute sessions are the perfect forum for you to ask questions and find solutions to your wellbeing and mental health challenges. And if you already know what you’d like to discuss, just let us know. Our registration form gives you the chance to suggest core topics and help us shape the agenda. Click the button to register now. Free for senior HR representatives from leading brands Register Now EVENT AGENDA SHOW MORE 9:00am - 9:30am Registration & Networking 9:30am - 10:30am Expert Presentations 10:30am – 12:15pm Roundtables Discussions 12:15pm – 12:45pm Keynote Presentation 12:45pm Close Attendees are encouraged to continue networking and engaging with their peers after the event concludes. WITH THANKS TO OUR EXPERTS Become an Expert REGISTER FOR THIS EVENT Work Email Address First Name Last Name Job Title Company Work Phone Would you like to present at a Masterclassing event? Yes No Please provide a question you would like answered by our experts Terms & Conditions I agree that the information provided above will be used and shared in accordance with Masterclassing's Terms & Conditions and Privacy Policy.* Masterclassing is pleased to cover the cost of your ticket. By registering for this event you agree to attend. Non-attendance or cancellation within two weeks of the event will result in a $200 (or equivalent) fee to cover the cost of your seat. The fee will be waived if a suitable colleague attends in your place. See the full T&Cs here.* Event Information *required fields Leave this field blank REGISTER FOR THIS EVENT Work Email Address First Name Last Name Job Title Company Work Phone Would you like to present at a Masterclassing event? Yes No Please provide a question you would like answered by our experts Terms & Conditions I agree that the information provided above will be used and shared in accordance with Masterclassing's Terms & Conditions and Privacy Policy.* Masterclassing is pleased to cover the cost of your ticket. By registering for this event you agree to attend. Non-attendance or cancellation within two weeks of the event will result in a $200 (or equivalent) fee to cover the cost of your seat. The fee will be waived if a suitable colleague attends in your place. See the full T&Cs here.* Event Information *required fields Leave this field blank APPLY TO SPEAK IF YOU'RE INTERESTED IN SPEAKING, PLEASE SHARE YOUR DETAILS BELOW AND A MEMBER OF OUR TEAM WILL BE IN TOUCH! Work Email Address First name Last Name Job Title Company Work Phone Is there a particular event you’d like to speak at? Yes No Not Sure Do you have any comments? Terms & Conditions I agree that the information provided above will be used and shared in accordance with Masterclassing's Terms & Conditions and Privacy Policy.* *required fields Leave this field blank BECOME AN EXPERT INTERESTED IN BECOMING ONE OF OUR EXPERTS? Work Email Address First name Last Name Job Title Company Work Phone Is there a particular event you’d like to speak at? Yes No Not Sure Do you have any comments? Terms & Conditions I agree that the information provided above will be used and shared in accordance with Masterclassing's Terms & Conditions and Privacy Policy.* *required fields Leave this field blank You must have JavaScript enabled to use this form. CONTACT US -------------------------------------------------------------------------------- We'd love to hear from you. Please leave your contact details below and one of the team will be in contact with you shortly. Email Address First name Last Name Job Title Company Work Phone What would you like to speak to us about? *required fields Leave this field blank USEFUL LINKS * About us * Meet the Team * Contact us * Privacy Policy & Cookies * Terms & Conditions SOCIAL * Facebook * Instagram * LinkedIn * Twitter COMPANY INFO BRISTOL Masterclassing Ltd Origin Workspace, 40 Berkeley Square Bristol, BS8 1HP Tel: +44 (0) 203 095 2984 NEW YORK Masterclassing Inc 147 Prince Street Brooklyn, New York, 11201 Tel: 646-598-2886 BE IN THE KNOW Subscribe to our newsletter to stay up-to-date! Full Name Company Email Phone / Mobile Number *required fields Leave this field blank