International and German Conference for people and families affected by aHUS, C3G and IC-MPGN (2026)

International and German Conference for people and families affected by aHUS, C3G and IC-MPGN (2026)
Name

First NameLast Name
Email
example@example.com
Phone Number

Area CodePhone Number
Affiliation
Your organization
Country
Role

Other
Which disease do you or the person you care for have (This information will be used to ensure that only patients, families and HCPs are joining)?
Will you attend the meeting (28-29 November, 2026)
With family?
Do you need child care (offered from 5 to 12 years old)?
How many family members and the name and age of the kids?
Will you be staying at Jugendherberge, Heidelberg International Tiergartenstr. 5, 69120 Heidelberg? (Should financial concerns prevent you from attending, feel free to contact us in confidence)
Language preference
Please list any topics you would like to discuss during the event
Networking and exchange of experiences: Please indicate if you would like to join the following:
Do you have any allergies, dietary restrictions, etc.? Other disability accommodation needs we should be aware of?
If yes, please specify
Additional comments: Please let us know about any special requests or other information you would like to share. (Should financial concerns prevent you from attending, feel free to contact us in confidence)
Should be Empty: