Active Preregistration

In these uncertain times because of COVID-19 we want to assure you that the registration fee will be refunded should this be necessary. (Travel and other costs not included)

First Name

Last Name

University

City of university

Country of university

Title Presentation

Authors (seperate by comma)

Coauthors (seperate by comma)

Abstract (Write your abstract here)

I hereby confirm I have read and accepted the Privacy Policy that can be found below.

I give permission to AMSC to publish my abstract as part of their abstract booklet.

Privacy Policy

We are a project of EMSA vzw, the Antwerp department of the European Medical Students' Association.

All information entered above is stored in the AMSC website’s secure database and is only available to relevant AMSC and EMSA members. This personal data will be deleted after a period of five years. If you wish these data to be deleted earlier, please contact secretary@amsc.be. Nonetheless, destruction of this data or incomplete completion of the form can have consequences for your participation in the AMSC congress, the possibility to contact you and more.

The participant hereby gives permission to process my personal data. I am aware that the information provided is necessary for the AMSC congress to function properly. This data will not be used for purposes other than the organization and promotion of AMSC. If this is not acceptable, close the form without sending it.

The participant hereby gives permission in advance to the organizer for public disclosure of photos or images made during or around the event, on which the participant is visible. We are hereby allowed to use these photos and put them on our social media platforms.

The AMSC organizing committee cannot be held accountable for any injuries, loss or damage of properties acquired during the event. AMSC keeps the right to cancel the event or a part of it due to unforeseen circumstances. All participants will be notified in time and reimbursed in case of a full cancellation. Travel and accommodation costs will never be reimbursed by the AMSC.