12th International Meeting on VPS13-associated disorders

Date: Friday, September 12 – Sunday, September 14, 2025

Venue: Hôpital ophtalmique Jules-Gonin, Avenue de France 15, CH-1004 Lausanne, Switzerland

Conference Registration Questionnaire (for patients and families)

(For families, only one registration is required)

Personal Information

Full Name *

Email Address *

Phone Number (optional)

Country of Residence *

Preferred Language *
Select a languageEnglishFrenchOther

Other language ?

Are you coming with your family? *
Select an optionNoYes

If Yes, How many people?

Adult

Child

Age of children

Participation Details

Select an optionPatientFamily Member / CaregiverPatient Organization RepresentativeOther

Other ?

Special Requirements

Do you have dietary restrictions? *
Select an optionNoneVegetarianVeganGluten-freeOther

Other restriction ?

Do you require special assistance (e.g., mobility, accessibility)? *
Select an optionNoYes

If yes, which kind of assistance

Accommodation Details

Do you need a hotel room during the conference? *
Select an optionNoYes

Number of guests (including yourself)

Dates you need accommodation
Night of Thursday, September 11thNight of Friday, September 12thNight of Saturday, September 13th

Financial Assistance

Would you like to request coverage of hotel costs?
Yes (please contact us with more information - muhammad.ansar@fa2.ch)No (Insert link / QR code for the family's room booking at Ibis with info, price and booking deadline)

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