Participation Form
In Inclusive Youth Exchanges

Hives Project is the coordinator organisation of Mi Terra Yi project, through which we are organising this Youth Exchange devoted to Inclusion.  LUNEnuove Cooperativa Sociale is our partner organisation from Italy and PARAMPARAM UPCYCLE is our partner organisation from Croatia.
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Email *
Email *
Name *
Surname *
Phone number (+ country code) *
Role in the Youth Exchange
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Date of Birth *
MM
/
DD
/
YYYY
Nationality/Residency *
Gender *
Where will you be travelling from? *
What is your level of english? *

Do you qualify as disadvantaged or facing obstacles? Give us few sentences if yes..


Special Needs. Let us know how can we host you on the best way.Give us all the details we need to know in order to prepare a safe and inclusive space.
Diet, medical needs, reduced mobility etc
DIET: please specify your diet or food ethics that we may need to know.
 *
Emergency Contact
Please indicate name and international phone number
 *
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