Home Registration form OI Retreat JavaScript moet ingeschakeld zijn om dit formulier te kunnen gebruiken. First name Last name E-mail address I would like to register for the OI Retreat November/December Yes No Dietary restrictions The retreat is from November 30, 12.30 hrs till December 1, 14.15 hrs I am attending both days including overnight stay and evening programme I am attending day 1 only I am attending day 2 only (including lunch) When you are attending day 1 only, are you attending dinner and evening programme? Yes No Do you want to make use of a pendelbus from Lunteren Station to Hotel de Werelt (and back) on: Yes, on Monday November 30 Yes, on Tuesday December 1 Yes, on both days No Do you have an example of a clinical question that led to a fundamental discovery? Yes No Example clinical question Do you have a mechanism or technology seeking a disease/application? Yes No Mechanism or technology Do you have interest in Project or grant pitches? Yes No Please specify Do you have interest in other programme contributions? Yes No Please specify