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.

Email address *
Personal information
First name *
Your answer
Last name *
Your answer
Contact phone number *
Your answer
What is your day job?
Your answer
The organisation where you work?
Your answer
Tell us how are you thinking of participating?
Check all that apply.
Participation options
Let us know what further information you would like.
Inquiry options
Additional questions
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)
Tell us if you are part of a team?
Team name that you are part of
Your answer
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