VIRTUAL STEERING COMMITTEE MEETING
Clinical Site Attendee Registration
April 6 - 7, 2021

PLEASE COMPLETE BY MONDAY, MARCH 29, 2021

VIRTUAL STEERING COMMITTEE MEETING REGISTRATION

The next ECHO ISPCTN face-to-face Steering Committee meeting will take place virtually.

Due to the membership size of the Steering Committee, the DCOC is asking that each clinical site awardee register attendees for this virtual conference so that the DCOC can plan accordingly and effectively incorporate breakout sessions.

VIRTUAL MEETING DATES/TIMES:

APRIL 6: 1:00 - 4:30 p.m. CST/ 2:00 - 5:30 EST

APRIL 7: 1:00 - 4:30 p.m. CST/2:00 - 5:30 EST

Question Title

* 1. Name of clinical site

Question Title

* 2. Attendee registration #1

Attendee name

Attendee study role

Attendee email address

Question Title

* 3. Attendee registration #2

Attendee name

Attendee study role

Attendee email address

Question Title

* 4. Attendee registration #3

Attendee name

Attendee study role

Attendee email address

Question Title

* 5. Attendee registration #4

Attendee name

Attendee study role

Attendee email address

Question Title

* 6. Attendee registration #5

Attendee name

Attendee study role

Attendee email address

Question Title

* 7. Attendee registration #6

Attendee name

Attendee study role

Attendee email address

Question Title

* 8. Do you plan to attend both days of the virtual conference?

Yes

Question Title

* 9. If your answer is no, which days do you plan to attend?

April 6

April 7