Brussels 2017 Event Registration

This form is for registration to the 2017 Brussels Conference on Parenting Options for European Gay Men. Pre-registration is mandatory for this event. The conference will take place over two days on Saturday, September 23 and Sunday, September 24 at the Hilton Brussels Grand Place.

The cost is €40 per person for both days. Attendees will benefit from peer advice, expert guidance, and the opportunity to meet clinics, agencies and community organizations at the resource fair, in breakout sessions, and private consultations.

PLEASE NOTE: You will be prompted to pay after you register. If you do not pay in advance, we can NOT hold a space for you at this event.

1. Participant Information

Email Address *This question is required. This question requires a valid email address.

First Name *This question is required.

Last Name *This question is required.

House Number and Street Name

City or Locality

Postal Code

Country *This question is required.

Spouse (if applicable)

Spouse or secondary Email

2. Are you currently a member of one of the following organizations?
Please select one option. *This question is required.

3. Are you interested in learning more about:

4. Please tell us more about yourself:

Are you gay?
Are you single?
Are you currently a parent?
Are you a member of the press / media / journalist?
Are you a researcher / student?
Are you a professional in a relevant field?

Please tell us more about your affiliation? Please include details about your organization, position, and even a URL to your organization. Failure to include this information could result in your access into our event being denied.

6. Comments / Questions?