From 9 till 12 March 2018, Team Traumaplatform will head up to Davos in Switzerland for our 3rd challenge 'SKI FOR SCIENCE' and symposium 'EXTREME EXTREMITIES'!

If you want to join Team Traumaplatform and participate in this event, fill out the form below. Your information will be used confidentially.

Name *
Name
According to your passport
Date of birth *
Date of birth
Expiration date passport *
Expiration date passport
I agree with a direct debit for every Traumaplatform event that I participate in *
Ik ga akkoord met automatische incasso voor elk Traumaplatform event waar ik aan deelneem
Physician registration number
Degree *
In centimeters
In kilograms
I have my own shoes for langlaufski's
Certain types of iceskate boots are perfect for langlauf ski's e.g. salomon free skate shoes
measured at height of nipples in centimeters
measured at belt height in centimeters
measured from floor to groin in cm
If so, please indicate which ones
Just in case! Please provide name and telephone number including countrycode
if none, please indicate 'none'