SAMARITAN Forum 2019 (Rescue Camp 2019 / SAMARITAN INTERNATIONAL 25th Anniversary etc.)

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SAMARITAN Forum 2019 (Rescue Camp 2019 / SAMARITAN INTERNATIONAL 25th Anniversary etc.) - Individual Registration Form

SAM.I. Forum 2019 will take place from 15-18 August 2019 in Mörbisch, Austria.
As part of the programme, there will also be the 2nd SAM.I. Rescue Camp, special sessions including an international meeting of the wish ambulance services as well as the 25th anniversary celebrations of SAMARITAN INTERNATIONAL.

PLEASE KEEP IN MIND THE REGISTRATION DEADLINE: 30/06/2019
This form is solely for the registration of INDIVIDUALS that wish to take part in the event as guests or observers. Teams that wish to participate in the camp and competition are kindly asked to register via the team registration form instead.

Email *

Phone number

Last Name *

First Name *

Please name your organisation *

ANPAS

ASB

ASBÖ

ASCR

ASSR

CDI

DKFH

FSR

IDC

LSA

LSB

SFOP

SRCE

SSK

SSU

USB

ZSU

Other:

I will arrive on *

YYYY

Arrival time at VIE airport (if applicable)

Time

I will depart on *

YYYY

Departure time from VIE airport (if applicable)

Time

Accommodation *

Join Group Reservation - I request that a reservation be made for me by ASB Austria (Seehotel Rust, EUR 92 single room, EUR 102 double room))

Own arrangements - I will arrange for accommodation on my own

If you will be accompanied by your spouse / a +1, please enter the full name of that person:

I will take part in the following parts of the event *

SAM.I. advisory committee meeting, 15 August, 15.00-17.00

Observing the Rescue Camp, 16-17 August

International Networking Meeting of the Wish Ambulances, 17 August, 14.00-16.00

25th Anniversary of SAMARITAN INTERNATIONAL, 17 August, evening programme

SAM.I. Competence Centre Youth - 17 August, afternoon (14.00-16.00)

Required

Do you have any additional comments or remarks?

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