Youth Exchange “love Yourself by Creating Reality”, 20 – 27 September, 2021 s.Allesio, Sicily, Italy
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- This project has been funded with support from the European Commission. This publication reflects the views only of the author, and the Commission cannot be held responsible for any use which may be made of the information contained therein
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電子郵件 *
Name and Surname *
E-mail *
Phone number *
Country *
Address (street and city) *
Date of birth *
MM
/
DD
/
YYYY
Gender *
Food requirements *
Medical or special physical condition *
If you answered YES above, please explain your medical condition
Have you been immunized with a Covid-19 vaccine (second dose included) and which one? *if it's scheduled to receive the second dose before 5th of September indicate that as well! *
Level of English *
Pease insert your FACEBOOK link here (in case we choose you, we need this so we can add you in our FB group, for communication for this project) *
Please describe any additional requirements
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