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participation form
Training Course "Blockchain Skills for Youth"
04/20/2022 - 04/28/2022
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First Name (as in your PASSPORT)
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*
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Last Name (as in your PASSPORT)
ID Number
birthday
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Whatsapp number (with international code +...)
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When do you plan to arrive to Benidorm?
What time do you plan to arrive to Benidorm?
When do you plan to depart from Benidorm?
What time do you plan to departure from Benidorm?
Please specify if you have any special needs (vegetarian, vegan, health issue etc.)
Have you been vaccinated against COVID-19?
*
Yes
No
With which vaccine are you vaccinated?
Have you recovered from COVID-19?
*
Yes
No
Do you have EU Digital COVID Certificate?
*
Yes
No
How many shots of vaccine have you received?
Select your sending organisation
*
Romania - Asociatia Go For It
Slovakia - Youth for Equality
Italy - Associazione Minerva
Spain - ASOCIACION EuropeYou
Germany - Copernicus Berlin e.V.
Please add any additional comments if any
I agree that during this training course pictures and/or videos of the participants will be taken and published on the homepage (https://www.copernicusberlin.de/), in (print) publications, on the Facebook, Twitter, Instagram, Youtube, LinkedIn pages of COPERNICUS BERLIN and may be saved for this purpose*
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participant declaration*
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