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Participation Form
Training Course
"Environmental Conservation and Sustainable Development in Island Communities"
03.05.2023 - 10.05.2023
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First Name (as in your PASSPORT)
Gender
*
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Divers
Last Name (as in your PASSPORT)
Birthday
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Email
ID Number
Birth city
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Emergency contact (name, relationship, phone number with country code)
When do you plan to arrive to Guadeloupe?
When do you plan to departure from Guadeloupe?
What time do you plan to arrive to Guadeloupe?
What time do you plan to departure from Guadeloupe?
Please specify if you have any special diet (vegetarian, vegan, etc.)
Please specify if you have any special health issues
Have you been vaccinated against COVID-19?
*
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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
*
Germany - Copernicus Berlin e.V.
Lithuania - Asociacija „Tavo Europa“
Romania - Club Faci Sport
Italy - Associazione Minerva
France - Together for Youth
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*
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participant declaration*
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