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:

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