MidAm 2026 Residency Participant Form- Stockholm, Sweden with Shulamit Hoffmann
Please complete this form with all information
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Full Legal Name as Written on Your Passport *
Preferred name
Voice part *
Cell Phone Number/Whatsapp Number.  *
Please ensure you have an international phone plan or whatsapp number. 
Please include area code (Ex. 123-456-7890)
Email Address *
Passport Number *
Passport Expiration Date  *
(MUST BE 6 MONTHS AFTER JUNE 2026)
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Birth Date *
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Nationality *
Where was your Passport Issued *
Dietary Restrictions/Allergies
Optional Tour Selection *
In addition to the three included tours, the following additional optional tour is available to you. Please select whether you would like to add this experience at an additional cost which will be due on the final invoice. Information about his tour, including photos and a description, is available on page 7 of the preliminary itinerary.
 
Your decision is finalized through this form, and can not be adjusted past March 15th, 2026 without direct approval from Sonja Sepulveda, Director of Program Development for MidAm international.
Do you have any mobility or accessibility concerns? *
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