Survival Weekend 19 registration

By filling in this form you register to Survival Weekend 19 (SW19),
which takes place 7th - 9th April 2017

Deadline for registrations is 31st of March.
The participation fee is 1590CZK.

Please note:
Your registration is binding, cancelation fees apply (see buddyhk.cz for more information).
The data you share with us are confidential and for SW19 purposes only and it won't be accessible for third parties.
If you have any questions, feel free to ask us at sw@buddyhk.cz
Accommodation is in chalets for 4 or 5 people.

Name

This is a required question

Surname

This is a required question

Nickname

This is a required question

Sex

Female
Male

This is a required question

Nationality

This is a required question

Date of birth

DD.MM.YYYY

This is a required question

Your Erasmus University

Choose your University in Czech

This is a required question

E-mail

This is a required question

Czech phone number

Digits only, for instance: 00420 605 123 456

This is a required question

I do NOT eat pork.
I do NOT eat meat at all.

This is a required question

Allergies and medical restrictions

For example important allergies to food, medicines, etc.

This is a required question

With whom do you want to be accommodated in the cottage during SW19?

Write the full names of your friends please. If you don't care with whom you will be accommodated, don't fill this paragraph. (you still may not be accommodated with who you wish due to capacity reasons, but we will try our best)

This is a required question