Join the Course

Course start date *

Delegate surname *

Other names *

Date of birth *

Place of birth (Town or City) *

Citizenship *

Email *

Phone *

Special Food requirements (if any)

Religious needs (if any)

Physical or physiological inconveniencies (if any)

Do you need accommodation (booking a hotel)?

Type of accommodation preferred: Lux (80 EUR) Econom (35 Euro) (rates per night Tick the suitable option - to be paid by the participant)

Travel information (please, state estimated place, date and time of arrival)

Other issues (not mentioned above)

Date of filling *

Type the characters you see in the picture.