Registration Form

Please complete the registration form below.
Attach a copy of the bank transfer receipt in the indicated field.
Registration will be confirmed only after the payment has been received.

Fields marked with an asterisk (*) are mandatory.

    PERSONAL INFORMATION

    First Name*

    Last Name*

    Personal Email*

    Date of Birth*

    Place of Birth*

    Occupation*

    Address*

    Zip Code*

    City/Country*

    Fiscal code

    Select Course Dates*

    PAYMENT INSTRUCTIONS

    To complete your registration, please make a bank transfer using the following details:


    Beneficiary:

    AUMI – Associazione Ultrasuoni in Malattie Infettive

    Via Santa Franca 50, Piacenza, Italy


    Bank:

    Intesa Sanpaolo

    Piazza Paolo Ferrari 10, Milano, Italy


    IBAN: IT39 T030 6909 6061 0000 0012 356

    SWIFT/BIC: BCITITMM


    Payment Reference:
    

    "SCUIDTM – Your Full Name"


    Once the payment has been completed, please upload your payment receipt (in PDF format) by clicking the button below:



    Note: Your registration will only be confirmed once the payment has been received and the receipt has been uploaded.

    PARTICIPATION AGREEMENT

    This Participation Agreement ("Agreement") is made between the participant ("Participant") and the organizers ("Organizers"). By registering and completing payment, the Participant agrees to the following terms:

    1. Registration & Fee

    • The fee includes course participation and materials. Accommodation, meals, and travel are not included.

    • Registration is confirmed only after full payment.

    2. Cancellation & Refunds

    • Cancellations are non-refundable (100% of the fee will be charged).

    • A suitable, qualified replacement participant may attend at no additional cost.

    • The organizers reserve the right to cancel the course up to two weeks before the start date due to low enrollment or other significant reasons. In this case, the full course fee will be refunded, minus a €120 administration fee.

    • The organizers are not responsible for any other costs incurred (e.g., meals, travel, accommodation).

    • No refunds will be issued in cases of force majeure (e.g., natural disasters, pandemics, war).

    3. Code of Conduct & Liability

    • Participants must act professionally and respectfully. Disruptive behavior may result in removal without a refund.

    • The course is for educational purposes only and does not certify ultrasound practice.

    • Organizers are not liable for injuries or loss/damage to personal property.

    4. Data Protection & Intellectual Property

    • Personal data will be used only for course administration. Contact details may be shared for networking only with consent.

    • Course materials are for personal use only and may not be copied, shared, or distributed.

    5. Agreement Acknowledgment


    By signing below, the Participant confirms they have read, understood, and agreed to the terms outlined above and consent to the processing of personal data in accordance with the
    Privacy Policy.

    I accept*

    MEDIA RELEASE CONSENT (Optional)


    I grant permission for the Organizers to take and use photographs, videos, and quotes for promotional and educational purposes. I understand that these may be published on websites, social media, and other materials.

    I accept

    *Required