Registration form

Definitive Surgical and Anaesthetic Trauma Care Course 2025

Currently, my position is: *

Resident (AIOS)

Medical specialist

Medical Nurse

Other/ not applicable

Organisation *

My experience in trauma cases is: *

Less than 10 cases

Between 10-30 cases

More than 30 cases

Please upload a recent photo of yourself here *

Title

First name *

Surname *

Country *

Zip code *

Street *

House number *

City *

Date of birth: *

E-mailadress *

Phone number (will only be used for course purposes) *

Z-number (only for Radboudumc employees)

BIG (if not applicable then please fill in 0) *

Food Allergy or Dietary Wishes

Would you like to join the dinner on day 1 of the course (included in the price) *

Yes

I agree with the general terms and conditions *

Total: € 0.00

Betalingsopties