EUSPR CONFERENCE REGISTRATION FORM 2025 Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Job title *Company / Organization *Address *Address Line 1Address Line 2CityState / Province / RegionPostal Code— Select country —AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryPlease specify your dietary requirements and/or allergies. *Do you have any health or mobility needs that we should be aware of (all venues are fully accessible)? Please specify. *Are you a EUSPR member for 2025? *YesNoPlease select the profile(s) which best match your position/role? *PractitionerResearcherPolicymakerStudentOtherWhat is your area of prevention expertise? *Do you plan to attend the pre-conference day workshops on 23rd September? *YesNoDo you plan to attend the conference opening ceremony on 23rd September late afternoon? *YesNoDo you plan to attend the annual EUSPR Members' Meeting on 24th September? *YesNoAre you an early-career delegate? *YesNoIncludes those who entered the prevention field through first job or commencing doctoral studies in 2017 or later; as well as current Masters and Doctoral students in a prevention-related discipline.When did you first enter the prevention field? *(e.g. employment or commencement of doctoral or masters studies)? Please state the year.If you are not already a member, are you interested in joining our Early Career Forum? *YesNoChoose your fee *Level A&B – EUSPR MemberLevel A&B – Cooperating SocietiesLevel A&B – Non MembersLevel C – EUSPR MembersLevel C – Non MembersVirtual RegistrationPayment – Level A&B EUSPR Member Click the link below before submitting the registration form, to “add to your basket” the registration fee. You can then choose if to pay online with credit card, or by bank transfer. Level A&B – EUSPR Member Payment – Level A&B Cooperating Societies Click the link below before submitting the registration form, to “add to your basket” the registration fee. You can then choose if to pay online with credit card, or by bank transfer. Level A&B – Cooperating Societies fully fee Do Payment – Level A&B Non Members Click the link below before submitting the registration form, to “add to your basket” the registration fee. You can then choose if to pay online with credit card, or by bank transfer. Level A&B – Non Members Payment – Level C EUSPR Members Click the link below before submitting the registration form, to “add to your basket” the registration fee. You can then choose if to pay online with credit card, or by bank transfer. Level C – EUSPR members Payment – Level C Non Members Click the link below before submitting the registration form, to “add to your basket” the registration fee. You can then choose if to pay online with credit card, or by bank transfer. Level C – Non Members Payment – Virtual Registration Click the link below before submitting the registration form, to “add to your basket” the registration fee. You can then choose if to pay online with credit card, or by bank transfer. Virtual Registration GDPR Agreement *I consent to having this website store my submitted information so they can respond to my inquiry.Submit
