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.
* Required
Name
*
Your answer
Surname
*
Your answer
Nickname
*
Your answer
Sex
*
Female
Male
Nationality
*
Your answer
Date of birth
*
DD.MM.YYYY
Your answer
Your Erasmus University
*
Choose your University in Czech
Choose
Charles University in Prague
Charles University, Faculty of Medicine in Hradec Králové
Charles University, Faculty of Pharmacy in Hradec Králové
Czech Technical University in Prague
Institute of Chemical Technology in Prague
Masaryk University in Brno
Mendel University in Brno
Brno University of Technology
University of Economics in Prague
University of Hradec Králové
University of Ostrava
University of Pardubice
University of West Bohemia in Pilsen
Technical University of Liberec
Technical University of Ostrava
The University of Finance and Administration in Prague
Tomas Bata University in Zlín
Palacký University in Olomouc
The Institute of Technology and Business Ceske Budejovice
UJEP Ústí nad Labem
Czech University of Life Sciences Prague
Other
E-mail
*
Your answer
Czech phone number
*
Digits only, for instance: 00420 605 123 456
Your answer
I do NOT eat pork.
I do NOT eat meat at all.
Allergies and medical restrictions
For example important allergies to food, medicines, etc.
Your answer
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)
Your answer
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