Registration

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Mr/Mrs

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*Institutional afiliation

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Participation:

Participation option: active/passive

Please check only the selected (paid-up) participation options.

2 day participation 1 day participation banquet participation in workshop
I’m a student of occupational therapy

Please enter the title of the selected workshop

*Additional information

Invoice: yes/no

* - Optional field

I promise to pay the conference fee. At the same time I acknowledge that in case of cancellation of participation in the conference after 20 February 2019. Expenses will be reimbursed, and the materials will be sent by mail.

I agree my personal data to processed for the needs of INNOVATION IN OCCUPATIONAL THERAPY 2019 conference organizers.