Registration Form

	Early Bird (until March 21)	Late Bird (from March 22-May 23)
Participant regular	€ 695,-	€ 835,-
Participant PhD Student / AIOS	€ 350,-	€ 420,-
Participant BSc & MSc Student	€ 215,-	€ 260,-
Participant Battle Hackaton	€ 155,-	€ 255,-

Initial(s) *

Last name *

First name

Country *

Hospital/organisation

Function/Profession

BIG-number (only for Dutch participants, if applicable)

Email address *

Confirm email *

Food hypersensitivity (allergy or intolerance)

N.B. You can communicate your food hypersensitivities up to 1 week prior to the course. Only then can we take them into account.

I will attend dinner Thursday May 22. *

Total: € 0.00

I accept the terms and conditions *

RehabMove 21 - 23 May 2025