FEPEDA EUROFEST - Germany 2019
Registration form for FEPEDA EUROFEST - Germany 2019
We kindly ask you to fill in the information correctly and carefully, including adults and children of your family.
Please add also information about the state of hearing and communication.
The information concerning your children will be forwarded to the team leaders in order to provide them with the best possible care.
Email address *
First name of adult #1 *
Your answer
Surname(family name) of adult #1 *
Your answer
Birth date of adult #1 *
MM
/
DD
/
YYYY
Home address (street, no.) *
Your answer
Home address (zip code, city) *
Your answer
Country
Your answer
Phone number(country code + mobile phone number) of adult #1
Your answer
State of hearing (adult #1): *
State of communication (adult #1): *
Required
Food preferences (adult #1):
Food allergies (adult #1):
Your answer
Other important Information (adult #1):
Your answer
I agree that my name may be mentioned in reports of this event. (adult #1)
I agree that pictures from this event where I am pictured may be published. This also applies to videos shown in the context of our public relations work. (adult #1)
First name of adult #2
Your answer
Surname(family name) of adult #2
Your answer
Birth date of adult #2
MM
/
DD
/
YYYY
Phone number(country code + mobile phone number) of adult #2
Your answer
State of Hearing (adult #2):
State of communication (adult #2):
Food preferences (adult #2):
Food allergies (adult #2):
Your answer
Other important Information (adult #2):
Your answer
I agree that my name may be mentioned in reports of this event. (adult #2)
I agree that pictures from this event where I am pictured may be published. This also applies to videos shown in the context of our public relations work. (adult #2)
First name of adult #3
Your answer
Surname(family name) of adult #3
Your answer
Birth date of adult #3
MM
/
DD
/
YYYY
Phone number(country code + mobile phone number) of adult #3
Your answer
State of hearing (adult #3)
State of communication (adult #3)
Food preferences (adult #3):
Food allergies (adult #3):
Your answer
Other important Information (adult #3):
Your answer
I agree that my name may be mentioned in reports of this event. (adult #3)
I agree that pictures from this event where I am pictured may be published. This also applies to videos shown in the context of our public relations work. (adult #3)
Participants - children:
The next questions will concern taking care of your child and the information will be forwarded to the leaders. Please, fill in the information carefully, including both the deaf or hard of hearing children and the hearing siblings. This way we can guarantee the best care for your children.
First name of child #1
Your answer
Surname(family name) of child #1
Your answer
Birth date of child #1
MM
/
DD
/
YYYY
State of hearing (child #1)
My child #1 has hearing aid(s):
My child #1 has cochlear implant(s):
State of communication (child #1)
Food preferences (child #1):
Food allergies (child #1):
Your answer
Other important Information (child #1):
Your answer
My child's swimming experience (child #1)
My child #1 is allowed to go swimming together in the swimming pool of the holiday resort.
I agree that my child #1 takes part in special group activities such as playground, hiking or other activities of the children's programme.
I agree that my child #1 may move/be temporarily without a team leader; but stay in a group of at least three participants.
I agree that my child #1 may be driven by a EUROFEST team leader (car or mini-bus).
I agree that my child #1 may be mentioned by name in reports of this event.
I agree that pictures from this event where my child #1 is pictured may be published in newspapers, magazines or homepages of FEPEDA and its member associations. This also applies to videos shown in the context of our public relations work.
Communication and other possible special needs:
Your answer
Important information for the leaders: illnessess and medication, bathroom visits, naps, favourite games etc.
Your answer
First name of child #2
Your answer
Surname(family name) of child #2
Your answer
Birth date of child #2
MM
/
DD
/
YYYY
State of hearing (child #2)
My child (#2) has hearing aid(s):
My child (#2) has cochlear implant(s):
State of communication (child #2)
Food preferences (child #2):
Food allergies (child #2):
Your answer
Other important Information (child #2):
Your answer
My child's swimming experience (child #2)
My child #2 is allowed to go swimming together in the swimming pool of the holiday resort.
I agree that my child #2 takes part in special group activities such as playground, hiking or other activities of the children's programme.
I agree that my child #2 may move/be temporarily without a team leader; but stay in a group of at least three participants.
I agree that my child #2 may be driven by a EUROFEST team leader (car or mini-bus).
I agree that my child #2 may be mentioned by name in reports of this event.
I agree that pictures from this event where my child #2 is pictured may be published in newspapers, magazines or homepages of FEPEDA and its member associations. This also applies to videos shown in the context of our public relations work.
Communication and other possible special needs:
Your answer
Important information for the leaders: illnessess and medication, bathroom visits, naps, favourite games etc.
Your answer
First name of child #3
Your answer
Surname(family name) of child #3
Your answer
Birth date of child #3
MM
/
DD
/
YYYY
State of hearing (child #3)
My child (#3) has hearing aid(s):
My child (#3) has cochlear implant(s):
State of communication (child #3)
Food preferences (child #3):
Food allergies (child #3):
Your answer
Other important Information (child #3):
Your answer
My child's swimming experience (child #3)
My child #3 is allowed to go swimming together in the swimming pool of the holiday resort.
I agree that my child #3 takes part in special group activities such as playground, hiking or other activities of the children's programme.
I agree that my child #3 may move/be temporarily without a team leader; but stay in a group of at least three participants.
I agree that my child #3 may be driven by a EUROFEST team leader (car or mini-bus).
I agree that my child #3 may be mentioned by name in reports of this event.
I agree that pictures from this event where my child #3 is pictured may be published in newspapers, magazines or homepages of FEPEDA and its member associations. This also applies to videos shown in the context of our public relations work.
Communication and other possible special needs:
Your answer
Important information for the leaders: illnessess and medication, bathroom visits, naps, favourite games etc.
Your answer
First name of child #4
Your answer
Surname(family name) of child #4
Your answer
Birth date of child #4
MM
/
DD
/
YYYY
State of hearing (child #4)
My child (#4) has hearing aid(s):
My child (#4) has cochlear implant(s):
State of communication (child #4)
Food preferences (child #4):
Food allergies (child #4):
Your answer
Other important Information (child #4):
Your answer
My child's swimming experience (child #4)
My child #4 is allowed to go swimming together in the swimming pool of the holiday resort.
I agree that my child #3 takes part in special group activities such as playground, hiking or other activities of the children's programme.
I agree that my child #4 may move/be temporarily without a team leader; but stay in a group of at least three participants.
I agree that my child #4 may be driven by a EUROFEST team leader (car or mini-bus).
I agree that my child #4 may be mentioned by name in reports of this event.
I agree that pictures from this event where my child #4 is pictured may be published in newspapers, magazines or homepages of FEPEDA and its member associations. This also applies to videos shown in the context of our public relations work.
Communication and other possible special needs:
Your answer
Important information for the leaders: illnessess and medication, bathroom visits, naps, favourite games etc.
Your answer
Accomodation details:
The residential facilities range from camping to single or double rooms up to comfortable apartments with 2 to 10 beds. Apartments offer a living room and several bedrooms with 2-4-bed rooms and several bathrooms. In addition there are rooms and apartments with disability access designed for people with special needs.
https://ferienstaette-dorfweil.de/en/holiday-resort/rooms-prices/
Type of pitch/room/apartment you prefer if available
If you like to share a big apartement with friends, please leave us the family name of your friends.
Your answer
Remarks/comments concerning accomodation details
Your answer
Prices and cancellation policy
Prices / adults 395 EUR/person
Prices / children 0-3 years 50 EUR/person
Prices / children 4-12 years 295 EUR/person
Prices / children 13-18 years 350 EUR/person
Discount for early booking till 31.03.2019 20 EUR/person
Prices for extra lunch 4.8.2019 10 EUR/person

Cancellation fees: If you cancel your participation
- less than 8 weeks before the camp we will charge you 50 % of prices
- less than 4 weeks before the camp we will charge you 80 % of prices
- less than 2 weeks before the camp we will charge you 100 % of prices
We recommand to sign a travel cancellation insurance in case of sickness or other reasons for cancellation.

The camp fee will be invoiced right after your Registration. As soon as you have received a confirmation for your reservation you can order your transport tickets. Please leave us your travel details so that we can for example provide you contact details of taxi companies that agreed on lower rates.

Number of extra lunch on arrival date Sunday 4.8.2019? 10 € per person
Your answer
Permission for registration of personal data:
The European association of Parents of Deaf and Hard of Hearing Children (FEPEDA) as well as its member organizations keep participants register for the purposes of billing of happenings and courses, information sharing and for other communication. By sending this form I give FEPEDA and its member organizations my permission to register my personal details and to use them in the communication between FEPEDA and its member organizations.

The personal details will not be given to any third party with the exception of name and address details as well as details of food allergies, which can be given to the holiday resort or other cooperation partner related to FEPEDA EUROFEST 2019. Information regarding the health or communication methods can be given to the children’s and youth team leaders in order to guarantee the good care and safety of the children. All employees and volunteers are bound by the obligation of professional confidentiality. We will use this information confidentially and follow the General Data Protection Regulation (GDPR).

You can cancel the permission by sending email to the office of FEPEDA: contact@fepeda.eu

I will give my permission for registering my personal data:
Under-aged participants who are over 16 years give permission for registering their personal details:
A copy of your responses will be emailed to the address you provided.
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