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GSDC Summer School registration
Global Space Design Challenge Summer School
Email address *
Agency name or "NA" if there is none *
How did you hear about our program? *
First Name *
Surname *
Address *
Name of School *
Name of parent/guardian *
Address of parent/guardian *
Email parent/guardian *
Telephone contact of parent/guardian (include country code) *
Date of birth *
MM
/
DD
/
YYYY
Level of English *
Passport country of issue *
Passport number *
Expiration Date *
Dietary requirements
Clear selection
Accommodation -shared unless otherwise noted
Clear selection
Medical issues (write none if no medical issues) *
Additional comments
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