PERFORM Project Conference Innovation in Science Education Through Performing Arts Registration form (14th - 15th June 2018)
** This form is both to confirm the attendance (all participants must fill it in). This event is organized by the PERFORM consortium.
Email address *
Email address *
Your answer
Registration
First Name (e.g. John) *
However you want us to write it in the participants' list, certificates and badges.
Your answer
Surname(s) (e.g. Smith) *
However you want us to write it in the participants' list, certificates and badges.
Your answer
Organization *
e.g. UNESCO, EUSEA, UCO, etc.
Your answer
Title *
E.g. Director, Project Manager, Student, Teacher, Researcher, etc.
Your answer
Organization Infomation
Check all that apply
Country *
Your answer
If you are attending on behalf of a project, please add the name and URL of the project
Your answer
Dietary Requirements
e.g. vegetarian, Kosher, No pork, lactose intolerant, nut allergies, etc.
Your answer
How did you find out about this event? *
Your answer
Terms and Conditions
Please read carefully before agreeing
Do you want to subscribe to the Perform Newsletter?
*
Yes
No
I understand the list of participants will be published online (only name, surname, and organization/project)
I understand that PERFORM will provide coffee and lunch during the event
I understand that to process my application, collection and storage of personal data (name, surname, email address) is necessary. Access to this information is strictly limited to PERFORM and will only be used for this specific purpose. PERFORM will have access to account information provided by the user and can modify and/or delete information upon request.
I understand that during the event, pictures and video, where I will possibly be clearly identifiable, will be taken. This material will be used for dissemination purposes (i.e. press, brochures, web portal)
I understand that the organizers will have access to the information provided in this form. The information will be used solely for the purpose of organizing this event.
Disclaimer
This event is supported by the European Union’s H2020 programme project, coordinated by the PERFORM consortium which have received funding from the European Union's Horizon 2020 Research and Innovation Programme, under grant agreements 665826.

A copy of your responses will be emailed to the address you provided.

A copy of your responses will be emailed to the address you provided.
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