Communication for Youth training
First name *
Your answer
Last name *
Your answer
Information that we need for an insurence company
Gender *
Your answer
Country *
Your answer
Birth date *
MM
/
DD
/
YYYY
Adress *
Your answer
Zipcode + city *
Your answer
Email adress *
Your answer
Phone number *
Your answer
Emergency Contact *
Full name, phone number, relationship to you
Your answer
Health Insurance *
personal registration number, company?
Your answer
Medicine
Your answer
Diet, allergies or special needs
If you have any serious problem with a health, please describe it
Your answer
Travel details - coming to training
details of your flight, coming by your own car?
Your answer
Travel details - leaving from training
details of your flight, coming by your own car?
Your answer
Tell us something more about you :)
This training will focus on your skills and competences as youth leader and worker regarding to communication. The following questions will help us to have an idea of the level of the participants in this training, and thus to adjust to program to your needs. You will help us and yourself by being as thorough and honest as you can :)
Study or occupation *
Your answer
What is your role in the organisation that is sending you to this training? *
(trainer, instructor, volunteer, working with kids/youth/adults, teambuilding programs, outdoor activities, group dynamic training processes. Try to explain in a couple of sentences what you are mainly doing.
Your answer
What is your experience in working as a trainer in helping groups in their group process? (teambuilding / team training / team coaching) *
Have you done this often? What kind of groups? Short or long training sessions? What was your role as trainer/facilitator in the trainings?
Your answer
Can you give a short overview of models and theories regarding to communication that you know and work with? *
Your answer
Knowing the subject of this training, what topics would you like to work on during the training? *
Your answer
Space for other comments *
Your answer
Liability waiver
This program you intend to participate on is an educational program involving indoor and outdoor sports and recreational activities. The basic method is learning by experience, which means that you will have the possibility to participate in unusual activities, to experiment with different solutions and new behaviors, and to work in a group with other participants. Your experiences will be discussed in a group.
The activities can include individual and group tasks that include more or less physical effort.

Some activities involve physical exertion, as well as known and unknown risks.
I hereby accept to use all equipment and apparatus provided. Our rules are designed to serve the safety and well-being of all participants, they need to be followed by each and every participant.

The information provided by you on this form helps us design a program to fit your needs, your physical abilities and to offer help for any physical limitation you may have. All of this information is confidential.

Association will not be held responsible for any accidents or other incidents that arise from not complying with rules and regulations.

"I hereby declare that all the facts and information provided in this form are true. I allow my personal data stated in the abovementioned applications to be processed for the purpose of project and organizational issues, in accordance with the Personal Data Protection Act". *
Do you AGREE to allow to use all images, movies and testimonials what was taken during the training for promotion and marketing purposes? *
Submit
Never submit passwords through Google Forms.
This form was created inside of Pracownia nauki i przygody.