Registration

European Staff Conference 2009

Tirgu Mures, Romania
21.-26.9.2009

* required

* First Name:
* Last Name:
* Date of birth:
* Sex:
* Home address:
* Country:
* E-mail:
* Contact telephone number:

* YWCA/YMCA address:
YWCA/YMCA job title:
Arrival date (dd/mm):
Arrival time (hh/mm) - important for transportation issues:
Arrival place:
Departure date (dd/mm):
* Accommodation:
Sharing with (if you choosed double or triple room):
Languages:
Any special diet requirements:
Payment method:

Visa needed? Please fill in all fields:
Passport number:
Date of issue:
Place of issue:
Valid until:
Nationality:

Are you willing to help us with organization and programme? If yes, specify:
Sport activity:
Workshop:
Can you be group facilitator:
Which other activities or programme aspects:
Notes:
Please note that no registration is confirmed until the payment is received. The more details you provide the better service will can be arranged.

Code: