This registration form is for an international workshop on radiation risk communication in paediatric imaging hosted by the World Health Organization. It will take place on December 2nd, 2012 in Bonn, Germany and runs from 9am to 5pm. The form requests the attendee's name, occupation, institution, and contact information. It also asks if they will be attending a related international conference on radiation protection in medicine running from December 3rd to 7th. The registration is free but does not cover travel or accommodation costs, and pre-registration is encouraged due to limited space.

1. Registration Form
WHO INTERNATIONAL WORKSHOP
Radiation risk communication in paediatric imaging
BMU Building, Bonn, Germany, 2nd December 2012
09:00h to 17:00h.
To be completed and sent to the World Health Organization (WHO) by e-mail to:
perezm@who.int
Family name/s: Given name (s) Male
Female
Occupation/profession Institution/workplace Position/activity
Mailing address: Country:
TEL: Fax: Email address:
Are you attending the International Conference on Radiation Protection in Medicine (Bonn, 3-7 December 2012)?:
Yes/No
This workshop will be hosted by Bonn Office of the German Ministry of Environment (BMU)
Robert-Schuman-Platz 3, 53175 Bonn, GERMANY
The registration is free of charge, and it does not cover travel and accommodation costs. Places are limited thus
pre-registration is encouraged to secure a place and to receive further information and background materials.