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Daniel weekend 2022-10 registration
Training in PROEM - Poland
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Email
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Your email
First name
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Your answer
Last name
*
Your answer
Adress including country
*
Your answer
Occupation (Educator, Youth leader, mentor etc)
*
Your answer
Phone number (Including country code)
*
Your answer
Can we communicate with you via WhatsApp?
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Yes
No
School or organization
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Your answer
Home church
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Your answer
Do you have any learning challenges we need to be aware of?
Your answer
What language table do you want to join
*
English
Polish
Ukrainian
Who is paying for my participation in Daniel Weekend
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My Organization
Ukrainian Fund
Myself
Name of the organisation paying for my participation
Your answer
Food
*
full board (breakfast, lunch, dinner)
Other:
Food
*
My first meal is Friday Dinner, last meal Sunday Lunch
Other:
I have a special diet
*
non
gluten-free
lactose-free
Other:
Required
Full name including academic titles for inclusion on the certificate
*
Your answer
Date of birth to be shown on the certificate
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YYYY
Notes
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I agree to the organizer sharing my contact details (name, surname, email and municipality) with other participants of this event.
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I consent to EurECA, Josiah Venture processing my identification and contact data for the purpose of informing me about other offers/services
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I agree for EurECA, Josiah Venture to process photos, videos from the event/activity I am registering for for their presentation purposes.
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