Registration Form - WYP Beijing 2017
This form is to collect data from participants attending the WYP Beijing Plenary Session taking place on 6th - 11th of August 2017. Please fill out the form, submit it, print it, sign it at the bottom of the form, scan it and send it by July 1st, 2017 to the Organizing secretariat of WYP by email to: wyp@identeyouth.org.
Registration should be send with the corresponding payment.
Email address *
PERSONAL DATA
Last Name *
Your answer
First Name *
Your answer
Birth date *
Put the date of birth Month, Day, Year format
MM
/
DD
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YYYY
Sex *
Country of birth *
Your answer
Nationality / Citizenship *
The nationality of the passport that you'll use to fly.
Your answer
Passport number *
Please, it is extremely important that this information is accurate or you may have problems with the registration of the WYP.
Your answer
Passport expiration date *
Check the expiration date of your passport to be sure that you can make your scheduled trip.
MM
/
DD
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YYYY
CONTACT DATA
Address *
Your answer
City / State *
Your answer
Country *
Your answer
E-mail *
Your answer
Personal Phone Number *
Your answer
Languages You Can Speak (check all that apply) *
Required
Emergency Contact Persons (names and phone numbers with the respective prefixes) *
Your answer
MEDICAL DATA
Please indicate any relevant medical consideration to be able to make this trip.
Do you require some special medication? Will you carry it with you? *
Your answer
Do you have any allergies? If so, please list allergies below: *
Your answer
Are there any foods you cannot eat? If so, please list them below: *
Your answer
I certify that, other than what I have disclosed above, I have no special dietary needs, I am not undergoing medical treatment, and I am not taking medications and have no restrictions that would prevent my participation in the activities of the WYP. *
Required
In case of a medical emergency (illness or accident) where I am unable to make medical decisions, I give permission for medical evaluation and treatment to be given (including resuscitation, surgery, anesthesia, administration of drugs, blood transfusions, etc.) and grant permission for hospital admission and any necessary operative procedures required. *
Required
IMPORTANT ADDITIONAL INFORMATION
Do you need a visa to China? *
Do you have medical insurance for the trip? *
It is mandatory to have a medical insurance in order for you to join the WYP Plenary Session.
Please indicate your medical insurance information below: *
Please include the contact details of the insurance company and the policy / insurance number:
Your answer
TRIP INFORMATION
If you already have the information of your flight, please include it below.
Travel data to China - Airline company
Your answer
Travel data to China - Flight number
Your answer
Travel data to China - Day of arrival
MM
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DD
/
YYYY
Travel data to China - Arrival Time
Time
:
Travel data back to the country of origin - Airline company
Your answer
Travel data back to the country of origin - Flight number
Your answer
Travel data back to the country of origin - Departure day
MM
/
DD
/
YYYY
Travel data back to the country of origin - Departure Time
Time
:
Would you like to add any other information you consider relevant?
Your answer
General Consent
I understand that the Idente Youth World Youth Parliament (WYP) is taking place in August 2017 at the Fltrp International Convention Centre (Beijing). The WYP is organized by Idente Youth and The Chinese People's Association for Friendship with Foreign Countries. I understand that I am responsible for getting to the Fltrp International Convention Centre on the day of arrival and for getting to the airport on the day of departure, in case I am unable to be at the meeting point indicated by the organizers. *
Required
I understand that I will be rooming with other participants. I am expected to respect all property, not use illegal drugs or weapons and respect the rules of the house in the residence halls and in the entire Centre. I have to return all living quarters (incl. tea kitchen and lounge) as found, including key cards, towels, bed sheets etc. *
Required
I understand that it is absolutely forbidden to smoke, use illegal drugs or alcohol in any of the Centre halls, and I understand that in case of violating the rules of the house I will be expelled from the World Youth Parliament, and I will receive no refund of my registration fee. *
Required
Damages to the property or violating of the house rules in the Centre have to be reported immediately to a responsible of the local WYP secretary. *
Required
Further, I give permission to be photographed, taped and/or videotaped in connection with the WYP Beijing August 2017. I understand that said pictures, recordings or videos will be used solely for publicity in different media venues (television, internet, printed brochures, etc.) to be shown now or in the future, and I waive compensation in regard thereto. *
Required
I sign in agreement with everything listed previously. I accept that the personal data I have provided on this form will be used by the Organizing Secretariat exclusively in connection with participation in the event referred to in the present document. *
Required
Please fill in and check your data! You will receive via email a copy of this registration form with your data. Please, print it, sign it below, scan it and send it to wyp@identeyouth.org with the title "Your Full Name - Registration WYP 2017". We need the signed document to keep the legal commitment.
Your answer
OTHER INFORMATIONS ABOUT REGISTRATION PROCESS
The registration payment will be managed by the Idente Youth Committee in your country.
Only after making the payment, the registration will be considered formalized. Regarding the trip, contact the Idente Youth Office in your country to know if they are planning to travel together.
A copy of your responses will be emailed to the address you provided.
Please complete the captcha before submitting the form.
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