DCSEM2026 (Dutch Conference Sports & Exercise Medicine) -

Sign up: Dutch Conference Sports & Exercise Medicine 2026

Dhr/Mw *

Voornaam *

Achternaam *

Land *

Postcode *

Huisnummer *

Straat *

Plaats *

Date of Birth *

-

-

Organisation *

Mobile phone *

BIG-number *

If you don't have one: fill in 0

E-mailadres *

E-mailadres (ter controle) *

Have you filled out the above correctly? *

Yes

Allergies / Dietary requirements *

Yes

No

What is your dietary requirement or allergy?

Make a choice *

My profession is *

Sports medicine physician / Sportarts

General practitioner (GP) / Huisarts

Musculoskeletal physician / MSK arts

Other medical specialist / Overig medisch specialist

Occupational physician / Arbo Arts

No member of Vereniging voor Sportgeneeskunde (VSG) *

Sports medicine physician / Sportarts

Resident in other medical specialties / AIO overige medische specialisme

General practitioner (GP) / Huisarts

Musculoskeletal physician / MSK arts

Other medical specialist / Overig medisch specialist

Occupational physician / Arbo Arts

Other medically related profession / Overig medisch gerelateerd beroep *

Exercise scientist / Bewegingswetenschapper

(Sport) Physiotherapist / (Sport) Fysiotherapeut

Dietitian / Dietiste

Podotherapist / Podotherapeut

Other allied health professions / Overige paramedische beroepen

What is the title of the Abstract Presentation?

I will attend *

Thursday

Friday

Thursday and Friday

I will speak at *

Thursday

Friday

Will you also attend on the other conference day? *

Yes

No

After the program on Thursday, we’ll wrap up the day with a delicious dinner and an amazing party. Let us know below if you’ll be joining.

Will you be staying for the dinner and/or party on Thursday November 26? *

YES, I will stay for dinner and party (additional cost €99)

YES, I will stay for dinner only (additional cost €69)

YES, I will attend the party (additional cost €30)

NO, unfortunately I will not be attending.

I agree to the cancellation policy *

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