Membership application for EURBG

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Membership category:

I am *
PatientParentParent group representativeNurseResearcherOther ProfessionalMedical Doctor

please specify (oncologist, ophthalmologist, geneticist…)

I would like to be considered for
A. Full membershipB. Associate membership
(Applications for full membership to the group will be considered for professionals (medical doctors, researchers, genetic counsellors, nurses, psychologists, social workers or other professions) within a designated retinoblastoma treatment or research group in an established hospital in the European continent, devoting a significant amount of their activities to retinoblastoma as shown by their publications and number of patients treated. Parental or patient organizations representatives or directors for retinoblastoma in the European continent may be considered for full membership.)

(Associate membership will be considered for all other professionals or members of advocacy groups or for those residing in countries from continents other than Europe. Membership is personal and not transferable).