XVII. Brno Cultural Forum - 9th October 2023

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XVII. Brno Cultural Forum - 9th October 2023 - Registration Form

Please take a moment to fill out this registration form so that we know who to expect and can prepare everything necessary for your maximum comfort and overall satisfaction with the event. If you need assistance with filling out the form, do not hesitate to contact our organizing team, who are ready to assist you. Capacity is limited.

Lucie Stadlerová - Phone: +420 542 172 056, Email: stadlerova.lucie@brno.cz

Name and Surname *

Email address
*

Name of the entity you represent

Institution, company, association, informal group, etc.

Do you have any disabilities? If yes, please specify.
*

Yes, sensory impairment, I am blind

Yes, sensory impairment, I have partial hearing loss

Yes, sensory impairment, I am completely deaf

Yes, physical impairment, I use an ELECTRIC wheelchair

Yes, physical impairment, I use a MANUAL wheelchair

Yes, physical impairment, I do not use a wheelchair

Yes, mental impairment

We strive to ensure maximum accessibility for the entire event, but we might have overlooked something essential for your participation. Feel free to request anything you need; this is the space for it.

I explicitly consent to the processing of my personal data to the extent and under the conditions stated here.
*

Yes

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