Investigator Registration Form

Name*
First Last
Please indicate your stakeholder group.*
- Investigator
- Research Coordinator
- Clinical Advisory Committee Member
- Patient Advisory Committee Member
- OBRI Team
- Other
Please confirm your attendance by selecting one option below. All PsA investigators and research coordinators are encouaged to attend both the PsA and RA sessions.*
- I will attend both the OBRI-PsA Investigator Meeting and OBRI Annual Conference (10am-4:00pm)
- I will attend only the OBRI-PsA Investigator Meeting (10:00am-12:00pm)
- I will attend only the OBRI Annual Conference (12:00-4:00pm)
- I am unable to attend.
Telephone number:*
Email (please provide)*
Please indicate dietary requirements.
- no dietary restrictions
- glucose free
- lactose free
- vegan
- vegetarian
Please list any food allergies below: