Contact
Register
29 January 2026
Cardo Hotel, Brussels

Pitch registration form

Thank you for applying to pitch at Health on Stage 2026!

Please fill in all fields on the application form and click submit. Applications are due by 08 December 2025 (deadline has passed).

Application has been closed.

Application Form

Hospital information
Name of hospital *
Contact person name  *
Contact person title  *
Email address  *
Phone number  *
Person who will pitch  
(Please skip to Challenge section below) 
Pitch presenter name  *
Pitch presenter title *
Email address *
Phone number 
Challenge information
Challenge title *
Description of challenge *
Which theme fits your challenge best? *
Your challenge’s stage of engagement *
Additional info or specific needs (optional)

Questions or concerns about your pitch registration?

Contact us