Registration form

First name *

Last name *

Email address *

Please make a choice: *

I'm a member of the scientific staff

I'm a member of the support staff

at following department *

at following department or support service *

When would you like to attend the online program? *

The program components are a word of welcome, theater performance and an after-talk.

February 24 10:30-12:30

[the limit of this choice has been reached]

February 24 15:00-17:00

[the limit of this choice has been reached]

February 25 10:30-12:30

[the limit of this choice has been reached]

I agree that my personal details will be used for future communication about Mindlab

Yes

By registering for Mindlab you agree with the Privacy Statement, which can be found here.