Registration for Disorders of Brain Development Symposium

Complete the form below to register for the Brain Malformation Symposium at the Antwerp University Hospital.
The Symposium is free, but registration is mandatory.

*Required fields

First name *

Last name *

University (or other affiliation) *

Function *

Email address *

I will be present during the lunch *

Yes

I will be present at the networking reception (following the event) *

Yes

Submit

Jessica Rosenblum (Jessica.Rosenblum@uantwerpen.be) collects these personal data to manage registrations and communications related to the Disorders of Brain Development Symposium. Under no circumstances will your contact details be passed on to third parties. These data will be stored until the symposium has taken place and all related communications have been completed. If you would like to view, limit, change or remove your personal data, please send an email to the address above. More information about our privacy policy: www.uantwerpen.be/disclaimer.