Online registration form
Please complete our online registration form to register your interest in participation in the Developers on FHIR Challenge.
Completing the form allows us to send you more information and does not commit you to participation.
Contact phone number
What is your day job?
The organisation where you work?
Tell us how are you thinking of participating?
Check all that apply.
I’m interested to participate by creating an app
I’d like to join others to create a team
I’m interested to be a mentor
Let us know what further information you would like.
More information about the event planning
More information about how to participate
Added on February 6th 2018
Tell us if you are planning to attend the March 17th Challenge Event in Auckland? (Check all options that apply)
I’m definitely planning to attend in person
I’m not yet decided
Tell us if you are part of a team?
I’m part of a team
My team name is (Specify in the next question)
I’m not yet part of a team and would like to be connected to others interested to form a team
Team name that you are part of
Send me a copy of my responses.
Never submit passwords through Google Forms.
This form was created inside of HL7 New Zealand.
Terms of Service