Leuven Cleanup and Reflection

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Email *

First name *

Last name *

Age *

under 6

6 - 12

12 - 18

Over 18

Write here if you have allergies or dietary notes (for the breakfast)

Are you bringing someone? *

Yes

Each person needs their own registration, including children. If you are bringing a child, a parent or legal guardian must complete that child form.
*

I agree

On the day we may take photos and short video to document the event for Bin Your Butts Leuven channels and local partners. We will not take close up shots of faces and we will only capture wide group images. Photo consent is optional. *

I consent to be photographed or filmed for event documentation, website and social media

I do not consent

Send me a copy of my responses.

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