Introduction Weekend by ESN Leuven

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Complete this form to register for the Introduction Weekend at the Ardennes!

First Name *

Last name *

E-mail adress *

Phone number *

Gender *

Female

Male

Nationality *

Are you vegetarian? *

Yes

Do you have any food allergies? *

I like

Beer

Cava

Water

Other:

Do you have an ESN Card? *

Yes

Why should you be part of the Introduction Weekend? *

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