Registration form

First name:

Last name:

Address:

City:

State:

Zip code:

Country:

e-mail:

Mobile phone:

Gender:
MaleFemale

Date of birth: (dd/mm/yyyy)

Contact person name (in case of an emergency):

Contact person's phone (in case of an emergency):

Do you have a medical insurance for Europe?
YesNo

Presently training at:

Level of training during the course 2024-2025:

Accomodation:
---I do not need accommodationIndividual Apartment (€1105,50) Full meals plan not included.Double Apartment (€617,50) Full meals plan not included.Triple Apartment (€526,50) Full meals plan not included.Quadruple Apartment (€474,50) Full meals plan not included.Quintuple Apartment (€429) Full meals plan not included.

I have read and accept the Política de Privacidad

By submitting this form, I agree to pay 100€ in order to reserve my place (Refundable 100% if cancelled before May 30th, 2025). The remaining 525€ will be paid by bank transfer before July 15th, 2025. By submitting this form, I agree to all terms and conditions specified in the prices page.

You will recieve an email confirmation as from 14th april with the payment instructions.