HLA Networking Event Registration Form 2026

Welcome to the registration page for the HLA Amsterdam Networking Evening, taking place on 5th February 2026, from 6:30 p.m. to 8:30 p.m.

We are thrilled to invite you to an evening which promises to be filled with networking opportunities, creating meaningful connections, and vibrant conversations. This will also be an opportunity to meet individuals from The HLA Community in person.

Please fill out the form below to secure your place at this exclusive event. As this is a free event, it has a limited number of seats which will be offered on a first come first serve basis.

More details will be provided once you have registered for the event.

If you have any concerns or queries, please feel free to reach out to us at hello@medics.academy and we will get in touch with you as soon as we could.

Name*

First NameLast Name

Email*

example@example.com

Your Organisation*

(Your trust/ hospital/ NHSE region...etc.)

Phone Number*

Area CodePhone Number

Your role within the organisation*

Country*

Are you a HLA Alumni or an IL1 past student?*

Which programme from the following have you been in at the HLA?*

The HLA Scholarship ProgrammeThe HLA Intermediate Level One ProgrammeOther

Are you a HLA Member or a Fellow? (Have you subscribed for the HLA Post-nominals)*

Are you interested in knowing more about the HLA Post-nominal subscription?*

YesNo

Do you have any dietary requirements? (Please select all that is relevant)*

200-Word Biography (Please provide a brief biography (max. 200 words) to be included in the event brochure. Focus on your professional background, achievements, and areas of expertise)*

Upload a recent Headshot (Please upload a high-resolution headshot for the event brochure, Acceptable file types: JPG, PNG)

Do you confirm that you will be attending the Amsterdam Networking Evening*

YesNo

Amsterdam Networking Evening 2026