BASIC Course Registration Form
BASIC is an internationally recognized course of lectures, tutorials and skill stations focused on the management of the first 24h of critical illness in childhood. ESPNIC is organising BASIC Course in Udine, Italy from 22 to 24 January 2019. The course is organised in cooperation with Udine University.
Name *
Surname *
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What is your specialty? *
What is your current position? *
What is your working institution?
Have you attended such an event before? *
Which course would you like to attend? *
Please share with us your postal address where to send you the course materials: City, Postcode, Address *
Do you have some special needs? *
Do you have some special dietaries? *
How did you hear about this BASIC Course?
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