Registration REGENN Research Week 2027

Name *

Email Address *

Street and House Number

City

Postal Code

Country

Phone *

Date of birth

Attendance *

Whole week: Monday - FridayDay attendence (email us which days at regennetherlands@gmail.com)

Room *

Slaaphuis 3: 500,- (ensuite bathroom/nice view) not-sharedSlaaphuis 3: 420,- (ensuite bathroom/nice view) shared with one other participantSlaaphuis 2: 441,- (ensuite bathroom) privateSlaaphuis 2: 361.- (ensuite bathroom) shared with one other participantSlaaphuis 1: 355.- (bunk beds/shared bathroom) privateSlaaphuis 1: 275,- (bunk beds/shared bathroom) shared with up to 3 other participantsChoose what type of room you would wish to stay in. Please also add in the comments if you are willing to 'downgrade' or 'upgrade' as our options are limited.

Indicate here with whom you would like to share a room:

Do you have any dietary requirements?

If you want to give a presentation, please indicate your title, a description/abstract and the type of presentation (brainstorm/work in progress/creative session)

Additional comments: