Junior Orsi Membership form

Thank you for your interest in Junior Orsi.

If you would like to register as a Junior Orsi member, we kindly ask you to fill in this form.
We will contact you via e-mail within 5-7 days with further instructions to complete your registration.

Best regards,
Junior Orsi team
Email address *
Name *
First Name *
Address *
Date of birth *
Field of Study *
Year of Study *
University *
How did you learn about Junior Orsi? *
In which Track would you like to register? *
Expectations? *
I hereby confirm that Junior Orsi may contact me via mail regarding future events *
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