PEARL 2026 Registration

PEARL Registration Form
Become a Patient Expert!
Join us in Brussels for a unique one-day patient course dedicated to people living with airway diseases (asthma, COPD, respiratory allergies and chronic sinus disease). Demystify your disease, learn how to master your therapies and take control of your own journey!
· Free participation – including lunch and two coffee breaks
· Experience the historic atmosphere of the Royal Academy of Medicine
· Connect with fellow patients and top faculty
· Language: English

Seats are limited. First come, first served.
We look forward to welcoming you in Brussels!

Best regards,
Dr. Xander Bertels
Course Co-Director
Attendee Information

Please fill name and contact information of attendees.
Your Name*

PrefixFirst NameLast Name
Email Address*
example@example.com
Country*
How would you like to attend?*

In-personOnline
Are you joining from Belgium or abroad?*

BelgiumAbroad
Are you a patient or healthcare provider?*

PatientHealthcare providerOther
Which condition(s) do you suffer from?*

AsthmaCOPDRespiratory allergies (like hay fever)Chronic sinus disease (like nasal polyp syndrome)Other airway conditionPrefer not to disclose
What is your profession?*

GPPulmonologistENT specialist / rhinologistAllergologistNursePharmacistPhysiotherapistOther
Where did you find out about this event?*

Via my doctor/hospitalVia my networkOnline
If you have food allergies, please let us know.
Where did you find out about this event?*

Via a colleague / my networkOnline
Do you want to apply for a one-night hotel stay at Motel One Brussels, funded by EUFOREA?*

YesNo
Do you want to apply for a reimbursement of your travel costs (flight/train) with a maximum of €300 (EU/UK travel)?*

YesNoI'm travelling from outside EU/UK
Should be Empty:

PEARL Registration Form

Attendee Information