NEXUS-NL Weekend registration NEXUS-NL Weekend registration Discover the world of Nuclear Medicine & learn how isotopes become patient care Friday 18 - Sunday 20 September 2026 Event registration I would like to attend the Nexus-NL weekend Personal detailsName(Required) First Last E-mail address(Required) Enter Email Confirm Email (Mobile) phone number(Required)Residence(Required)Nexus-NL consent I give consent for my phone number to be used to be added to a NEXUS NL Whatsapp group if necessary Date of birth(Required)Gender(Required) Male Female X Dutch speaking(Required) Yes No, but I can understand it No Education and trainingI am a(Required) Student Resident (ANIOS, AIOS radiology including differentiation nuclear medicine and others) Nuclear radiologist University or Hospital(Required)Previous degrees(Required)StudyYear of study 1 2 3 4 5 6 Resident inYear of residency 1 2 3 4 5 6 Work inYears of experience 1 2 3 4 5 6 MotivationBriefly describe why you want to participate and what you expect to gain from participating in this event.Motivation statement(Required)Do you have prior experience with any of the topics below Nuclear medicine (Medical) imaging AI / data analysis Radiation safety Radiochemistry Clinical research Clinical physics No Alumni day Petten site visit(date to be determined)Petten visit I AM interested in a site visit to PETTEN (high flux reactor, Pallas building site and more) I am NOT interested in a site visit to PETTEN (high flux reactor, Pallas building site and more) Medical informationAllergies(food/medication/environmental)Dietary requirements(vegetarian, vegan, gluten-free, etc.) Medical conditions, current medications or special considerationsEmergency ContactName(Required) First Last RelationshipPhone number(Required)E-mail address(Required) Participation and liability agreementBy submitting this application, I acknowledge and agree to the following conditions(Required)• Eligibility: Registration is open to students and residents in nuclear medicine, currently inscribed at a Dutch university. • I give consent for my email address to be used to be added to a NEXUS-NL 2026 platform group • Accuracy: I confirm that the information I provided is accurate and complete. • Participation is free of charge and includes accommodation, catering during the scheduled program, program sessions, and team-building activities. However, transportation costs and any drinks outside the daily program or outside the scheduled meal times are at the participants’ own expense. • Cancellation fee: While participation is free, a €100 cancellation fee applies if I withdraw after being accepted. • Accommodation: Participants will stay at Strandhotel Camperduin (see www.strandhotel-camperduin.nl for more information) in a hotelroom/studio or apartment shared with a maximum of four other participants. Each participant will have their own bed, and rooms will be allocated by gender. Accommodation allocations are final, and rooming preferences cannot be accommodated. Each accommodation is equipped with a bathroom and toilet. • Selection process: Applications will be reviewed by the NEXUS-NL Organising Committee based on motivation statements. The decision of the Committee is final, and appeals will not be accepted. • Liability waiver: I understand that my participation is voluntary and at my own risk. The activities during the event are organized by third parties who hold insurance policies covering accidents or injuries to participants. NEXUS-NL/NVNG is not liable in case of accident, injury, disability, or medical expenses. • Incomplete applications: I acknowledge that incomplete applications will not be considered. • Data processing: I acknowledge that the EANM, NVNG, FAST, NVKF, NKRV, NMEP (hereafter: the organizers) obey the International Data Protection Guidelines; I agree that my given data may be used and processed by the organizers for the management of the event and may be forwarded to third parties contracted by the organizers to deliver services related to the event. • Name changes: Name changes will not be accepted! • Force majeure: In case the event has to be cancelled by the organizers because of force majeure, I will not be entitled to compensation of any kind. • Media: During this event, photos and video recordings may be taken for documentation and promotional purposes, such as use on the organization’s website, social media channels and digital newsletters. If you do not wish to appear recognizably in photos or videos, please inform the organization committee. You may object to publication or withdraw your consent at any time by contacting info@NVNG.nl. Any relevant material will then be removed where reasonably possible. For more information on data protection and image use principles, please refer to the European Association of Nuclear Medicine (EANM) data privacy policy: https://eanm.org/data-privacy/ • Programme changes: The organizers reserve the right to modify the programme without notice. I have read, understood, and agree to the participation terms and liability waiver