Blockchain Skills for Youth / Questionary

top of page

Start
Landing Page
About Us
- ● Our Team ●
- ● Geschichte von CoBi ●
Scholarships
- ● IES-Program ●
- ● LF-Program ●
Erasmus+
- ● International Seminars ●
- ● Projects ●
Blog
Contact
More

Use tab to navigate through the menu items.

participation form
Training Course "Blockchain Skills for Youth"
04/20/2022 - 04/28/2022

Ihave subscribed Instagram*

Ihave subscribed Youtube*

First Name (as in your PASSPORT)

Gender *

Male

Female

Last Name (as in your PASSPORT)

ID Number

birthday * required

Birth city

E-mail

Phone (with international code +...)

Whatsapp number (with international code +...)

Emergency contact (name, relationship, phone number with country code)

When do you plan to arrive to Benidorm? * required

What time do you plan to arrive to Benidorm?

When do you plan to depart from Benidorm? * required

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*

I have read and accept the terms and conditions stated in theparticipant declaration*

Thanks for submitting!