Photo above: "Flower square - M . Gasaparović (property of The Zagreb Tourist Board)".

Registration form for 'Start-up of the SAMIRA Joint Action : Shaping the future of Ionizing Radiation in European Healthcare'

First name: *

Last name: *

Email address: *

Country: *

Institution: *

What type of institution is this?: *

At what type of institution do you work for?:

Would you like to attend the workshop in person of online? *

I'd like to attend the workhop in person in Zagreb, Croatia

I'd like to attend the workhop online (Please note that for the breakout sessions online participation is limited)

Lunch will be provided during the start-up, are there any dietary requirements/allergies that we should take into account?

Are there any questions or remarks that you want to share here?