Application form for Training Course To The Roots
The application form for youth workers taking part in the training course To The Roots which will take place in Murzasichle between 16th and 23rd of June 2021.

The infopack to the project you can find in the link below:
https://drive.google.com/file/d/1m-oOERk14mZQcQljs7L7IB15Y-7nz_g5/view?usp=sharing

By taking part in the training course To The Roots I agree to the regulations of the project. The regulations you can find in the bottom of the page.

Hereby we inform you of the following:
1. By submitting this form you voluntarily consent to the processing of your personal data by the foundation Fundacja Młodzi dla Europy based in Wieliczka, ul. os. K. Szymanowskiego 18/33 in Poland. Contact with the administrator of your data is possible via the email address mlodzidlaeuropy@gmail.com.

2. Every participant in an international moblity project has the right to access their personal data, correct it or delete it.

3. Personal data collected by this form are used for the purpose of the international projects, promotion of organisation's activities and are protected in accordance with the applicable legal provisions.
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First Name *
Last Name *
Country of sending organisation *
Date of birth *
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DD
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YYYY
Gender *
E-mail *
Phone number *
Your needs
Would you like to have dedicated diet during the project? *
Do you have some special needs, which you would like to inform us?
Would you like to write person whom inform in case of emergency (name, status of person and phone number)
By taking part in the project i agree to the regulation of the project *
Regulations of participation in the project /1. Filling the application form with informations needed to preceed the implementation of the project. The data collected would be hold by Foundation Młodzi dla Europy with headquarters in Wieliczka, ul. os. K. Szymanowskiego 18/33 in Poland. The datas would be collected via google forms which administrator is Google LLC.  /2. The participants need to take part in all of the activities during all of the phases of the project to receive the reimbursement of their travel costs.  /3. During the project there would be taken pictures and videos of participants which later would be used in social media of project partners as well as in the publications created by organisation Foundation Młodzi dla Europy.  /4. The participants need to respect and behave according to the contract developed in the first days of the project by all of the participants.
I understand and agree on following *
I acknowledge the contagious nature of the Coronavirus/COVID-19 I further acknowledge that Fundacja Młodzi dla Europy foundation has put in place preventative measures to reduce the spread of the Coronavirus/COVID-19. I further acknowledge that Fundacja Młodzi dla Europy can not guarantee that I will not become infected with the Coronavirus/Covid-19.I understand that the risk of becoming exposed to and/or infected by the Coronavirus/COVID-19 may result from the actions, omissions, or negligence of myself and others, including, but not limited to, venue staff, and other participants.
I acknowledge that I must comply with all set procedures to reduce the spread while attending my appointment. I attest that:* I am not experiencing any symptoms of illness such as cough, shortness of breath or difficulty breathing, fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell.* I have not traveled internationally within the last 14 days.* I have not traveled to a highly impacted area within the last 14 days.* I do not believe I have been exposed to someone with a suspected and/or confirmed case of the Coronavirus/COVID-19.* I have not been diagnosed with Coronavirus/Covid-19 and not yet cleared as non-contagious by state or local public health authorities.I hereby release and agree to hold Fundacja Innowayjnej Edukacji harmless from, and waive on behalf of myself, my heirs, and any personal representatives any and all causes of action, claims, demands, damages, costs, expenses and compensation for damage or loss to myself and/or property that may be caused by any act, or failure to act of the Fundacja Młodzi dla Europy, or that may otherwise arise in any way in connection with any services received from Fundacja Młodzi dla Europy.
I understand that this release discharges Fundacja Młodzi dla Europy from any liability or claim that I, my heirs, or any personal representatives may have against the Fundacja Młodzi dla Europy with respect to any bodily injury, illness, death, medical treatment, or property damage that may arise from, or in connection to, any services received from Fundacja Młodzi dla Europy. This liability waiver and release extends to the project together with all NGOs members, partners and participants.
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