TRAUMAPLATFORM FALL 2024

CHALLENGE ACCEPTED: ‘‘GRIT FOR TRAUMA’’

“Challenge accepted: ‘‘GRIT FOR TRAUMA”

Italy, 10-13 October 2024

At this moment, registrations are full. New registrations will be placed on the waiting list

Register here

Name

As written in passport

First Name

Last Name

Date of Birth

YYYY

Passport Number

E-mail Address

Degree

Student/researcher (€950,-)

Resident (not) in training (ANIOS/AIOS) (€1050,-)

Staff member/fellow/chef de clinique (€1350)

Current Hospital

Specialization

Would you like to give a talk during the 2024 Challenge?

Dietary Preferences

If so, please fill in

Size Cycling Tee

Size Cycling Bib Shorts

Room Preferences

I will bring my own Gravelbike

I will bring my own cycling shoes

I will bring my own clipless pedals

Frame size

If you know your own frame size please fill in

Length

I will join the warm-up on May 9th (Ascension Day) in Arnhem

I agree to the terms and conditions

Yes

Please note that registration does not confirm guaranteed participation. You will receive a confirmation email if you have successfully been selected, including payment details. Furthermore: if payment is not made within two weeks of receiving the confirmation to account number NL 17 ABNA 0522 5509 91, payable to Stichting Traumaplatform in Amsterdam, we will be obliged to cancel your reservation and make the spot available to another interested party.

TEAM GRIT FOR TRAUMA

Sophie van Veldhuisen Lisa Wörner

Maaike Head Thijs Vaartjes

Myrthe Simon Louise de Haas

Melle Broekman