Participation to the MatchMed event and/or the final conference of the Blue Crowdfunding project

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Dear participant, by filling-in this form you confirm your availability to join the MatchMed event and/or the Blue Crowdfunding project final conference in Barcelona on the 14 and 15 of June 2022. Both events will take place in Barcelona and will be hosted by Canodróm, Ateneu d'Innovació Digital i Democràtica (Carrer de Concepción Arenal, 165).

Name *

Surname *

Email address *

What organization do you represent? *

Are you representing a partner of the Blue Crowdfunding project? *

Yes

Country of origin *

Which event(s) are you going to attend? *

I will only attend the MatchMed event.

I will only attend the Blue Crowdfunding final conference.

I will join both the MatchMed event and the Blue Crowdfunding final conference.

Required

Please indicate your dietary restrictions, in case you have any:

I am vegetarian.

I am vegan.

I am gluten intollerant.

I am lactose intollerant.

Other

If you selected "Other", please explain

Do you have any accessibility needs? If so, please describe them below:

Do you have any other comments or doubts? Let us know below:

GDPR: Unless you authorize Fundación Goteo to retain your data for future communications, all information provided will be cancelled upon completion of this events. You can withdraw your consent at any time by sending an email to info@goteo.org. In addition to your right to withdraw your consent, you also have the right to access, modify, delete, demand or oppose the processing of your data, which you may exercise by means of a written request to Fundación Goteo through the email info@goteo.org.

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