Registration form Connect Conference 26th October - 3Oth October 2025
We’re excited that you’re joining us for this enriching and intercultural experience. Please take a moment to carefully fill out this form with the required details.  

Before completing your registration, it is mandatory to read and accept ourTerms & Conditions. These outline important information regarding participation, fees, insurance, and other policies. By submitting this form, you confirm that you have read and agree to these terms.  

⚠ Please note: Your registration is only official after payment. Make sure to transfer the correct amount to confirm your participation. Payment details:

  • Beneficiary: Route 360 vzw
  • Beneficiary’s address: Eendrachtstraat 40, 9000 Gent, Belgium
  • Bank: Triodos Bank
  • Bank address: Boudewijnlaan 31/5, 1000 Brussel
  • IBAN: BE57 5230 8125 2935
  • BIC: TRIO BE BB

Please describe your payment as one of the following: “Participation Fee + Full Name + Country”

 (Payment details will be repeated at the end of this form).

If you have any questions or need assistance, feel free to contact us at info@connectconference.be.

We look forward to welcoming you to the Connect Conference!

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First name *
Last name *
Date of Birth
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Nationality


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E-mail
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Phone (with country code)
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Residential adress: 

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Name of your school *
Are you a teacher or a student? *
In case of emergency during the conference, who should we contact?

Contact’s full name:
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Emergency Contact’s relationship to you
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Which languages does your contact speak?
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Allergies

If you have a food allergy please describe below what you can (not) eat and what we should do in case of an allergic reaction.

Is there anything else we should know about your physical or mental health?
Which initiative can you or your group bring to the conference?
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Please describe your initiative and the time/space/materials you need.

Which participation fee applies to you?

Please select the appropriate option based on your location and financial situation:

Your registration will only be official after payment. If you need financial assistance, please contact us as soon as possible. 

(Bank details are shown once you've filled out the entire form)

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Signing this Individual Registration Form, I declare that I have read and accept the Terms and Conditions attached to this Registration Form.
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