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participation form
Training Course "Diversity is a fact, Inclusion is an act!"
05/25/2022 - 06/02/2022
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First Name (as in your PASSPORT)
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birthday
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Birth city
country of residence
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 Paola?
When do you plan to depart from Paola?
What time do you plan to arrive to Paola?
What time do you plan to departure from Paola?
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
Estonia - Nooruse Maja
Bulgaria - Alternativi International
Spain - Asociación EuropeYou
Germany - Copernicus Berlin e.V.
Italy - Associazione Progetto Europa
Please add any additional comments if any
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*
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participant declaration*
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