Registration form for Paul Course 2024

First name (as on passport)*

Given name (if applicable)

Surname (as on passport)*

Country*

—Seleziona un'opzione—AustraliaBelgiqueBotswanaČeská republikaDeutschlandEspañaFranceGreat BritainIndiaIrelandIsraelItaliaLëtzebuergMagyarországMauritiusMéxicoPolskaSlovenskoSouth AfricaSuisseSverigeUSAZimbabwe

Telephone/Mobile*

E-mail*

Re-enter e-mail*

Oasis/Reality to which you belong*

—Seleziona un'opzione—AustraliaBelgiqueBiellaBlotnicaBridgeportCamparmòČeská republikaChemnitzCogolloEspañaFranceFuldaGesiaGreat BritainHamburgIndia NorthIndia SouthIrelandIsraelItalia Nord OvestKölnKrakówLos AngelesMagyarországMéxicoMinnesotaMünchenNew YorkNowy RadzicPittsburghPrešovRecanatiRegion CentralnyRomaSardegnaSiciliaSklenéSouth AfricaSuisseSverigeVyšný KlátovWrocławZimbabwe

Date of birth (DD-MM-YYYY)*

Gender*

FM

Nationality*

I require translation in*

Nessuna traduzione - parlo italianoČeskyDeutschEnglishEspañolFrançaisPolskiSlovensky

Choose the option you are interested in*

Course with accommodation in twin room: €730,00Course with accommodation in single bedroom: €850,00

If possible I would like to share a room with (name and surname):

Food allergies or other needs:

I have read and accept the conditions and privacy policy.**

*This symbol indicates a mandatory field.

**Personal data will be recorded in the electronic archives of Koinonia Giovanni Battista, in conformity with Czech law 101/2000 concerning privacy.