Delegate Registration Form EYP Day Burgenland
Thank you very much for your interest in attending the EYP Day Burgenland, taking place in Neusiedl/See on 22nd December 2015.

EYP Days are mini-sessions that last one day for Delegates and include all session elements (Teambuilding, Committee Work and General Assembly). They are a perfect chance for young people to get to experience an EYP session and learn what the organisation is all about.

Please fill in this form carefully.

The registration is open until 8th December 2015. You will be notified whether your registration was successful after the deadline.

If you have any questions, please do not hesitate to contact us!

burgenland2015@eypaustria.org

Head Organisers:
Valerie Berger (valerie.berger@eypaustria.org)
Robin Hietz (robin.hietz@eypaustria.org)

Regional Coordinators Region Central:
Florian Schinnerl (florian.schinnerl@eypaustria.org)
& Christoph Herler (christoph.herler@eypaustria.org)
Personal Information
Your data will be treated confidentially.
First Name *
e.g. Hans
Your answer
Last Name *
e.g. Muster
Your answer
Nationality *
e.g. Austria
Your answer
City *
e.g. Gratkorn
Your answer
Preferred e-mail address *
Please make sure you enter an e-mail address that you check regularly
Your answer
Phone number *
e.g. +43123456789
Your answer
School
Which school do you attend? *
e.g. St. Ursula
Your answer
Which grade are you currently in? *
e.g. 4 years of primary school + 6 years = 10th grade
Your answer
Who is responsible for EYP in your school?
Please specify the name of the teacher who is in charge of EYP in your school, if there is one.
Your answer
Dietary and Medical Needs
Do you have any special dietary needs? *
Do you have any allergies?
If not, please leave this box blank
Your answer
Do you have any medical conditions you would like us to know about?
If not, please leave this box blank
Your answer
Motivation
Why would you like to attend this EYP Day?
Please explain your motivation to participate in this event in 150 words or less
Your answer
How did you find out about this EYP Day?
Comments
Do you have any further comments or questions?
Your answer
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