Register

Required fields are marked with a (*)

Personal Data

First name:*

Last name:*

Gender: Male Female

Username:*

Password:*

Repeat password:*

e-mail:*

Address:*

ZIP/Postal code:*

City:*

State/Province:*

Country:*

Phone number:*

Fax number:

Full Member (€120) Associated Member (€60)

Associated members are medical students. Full members are sports physicians. All members have the same privileges.

Medical School University:*

Date of Graduation:*

Medical School University:*

Date of Graduation:*

Time working as a sports physician:

Current Position:

Society Memberships:

Biography and Certificates (ZIP file, 1MB max size):*

Medical School University:*