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Registration Form - eduJAM! 2012
Thanks for registering to eduJAM! 2012. After filling the form we will contact you to coordinate the payment.
We suggest you to learn about the costs of the activities before filling the form. This information can be found at
edujam2012.ceibaljam.org
under INSCRIPCION/REGISTRATION
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* Indicates required question
Last Name
*
Your answer
First Name
*
Your answer
E-mail
*
Your answer
Id. Number
*
If you wish us to include include your id number (Passport or ohers) on the certificate of attendance, please indicate here.
Your answer
Occupation / Education
*
What is your occupation or education?
Your answer
Organization
Indicate if you belong to any organization (if applicable)
Your answer
Country
*
Place of birth
Your answer
City
*
Where are you coming from?
Your answer
Do you wish to participate in the "Conozco Uruguay Tour"? (May 9-10)
*
Cost: USD 100
Yes
No
Do you wish to participate in the "Sugar Code Sprint"? (May 11-12)
*
Yes
No
Do you wish to apply for a grant?
*
Applications will be examined one by one by the eduJAM! 2012 organizing committee and all applicants will receive a response shortly.
No, I don't wish to apply for a grant
Yes, as a student and I will only attend on Saturday
Yes, I'm an active member of the community and I need a grant to reduce the registration cost
Yes, due to other reasons (please detail reasons and grant requested below)
Reasons for applying for a grant
Your answer
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