Copy of Registration Form

Registration form

Personal informations

First name*

Last name*

Date of birth

Address*

City*

Postal code*

Country*

Gender Identity

Registering as*

Partner’s first name

Partner’s last name

Gender identity of your partner

Your Choice

Registering for*

Starting date of the course

The end date of your course

Lodging preference*

Your contact

Email address:*

Phone:*

Other comments:

You have reached the end of your pre-registration form. You have the possibility to send the form with a deposit, the payment of the totality, or to pay later (your registration will be definitively registered only at the reception of the payment of the deposit at least)

Deposit or Payment or Later*

Full Payment*