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Participation Form
Training Course "Target ZERO. Creatin
g Responsible Enterprise"
15.02.2023 - 23.02.2023
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have subscribed Youtube*
First Name (as in your PASSPORT)
Gender
*
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Divers
Last Name (as in your PASSPORT)
Birthday
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E-mail
ID Number
Birth city
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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 Benalmádena?
When do you plan to depart from Benalmádena?
What time do you plan to arrive to Benalmádena?
What time do you plan to departure from Benalmádena?
Please specify if you have any special needs (vegetarian, vegan, health issue etc.)
Please specify if you have any special health issues
Have you been vaccinated against COVID-19?
*
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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
*
Italy - Associazione Musikart
Romania - Go Over All Limits Association
Hungary - Creative Youth Academy Hungary
Lithuania - Asociacija „Tavo Europa“
North Macedonia - Association of educational development GAMA KPS
Spain - Asociación PROJUVEN
Germany - Copernicus Berlin e.V.
Please add any additional comments if any
From which city/town/village in the country of your residence will you begin your trip to the taining course?
I hereby confirm that I am a resident of the country I represent
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 the
participant declaration*
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