Registration form 3. 1b training course

Registration Form 3.1b TRAINING COURSE

PEACE ON YOU!, Busteni (Romania)

21-29 NOVEMBER 2013

Contact Details
Family Name		First name
Nationality		Date and place of birth	Dd/mm/year,
Sex	Male / Female	Telephone	(+)
Address		Mobile phone	(+)
Postal code
City		E-mail
Country		Nationality
Passport no		Facebook:

Emergency Contact Details
Family Name		First name
Languages Spoken
Telephone	(+)	Mobile phone	(+)
E-mail

Languages Spoken
English	A1 A2 B1 B2 C1 C2
French	A1 A2 B1 B2 C1 C2
Language 3	A1 A2 B1 B2 C1 C2

Special Needs
Diet	I eat everything unless it’s gone off:P I do not eat PORK I’m a vegetarian - I do not eat MEAT, but I eat cheese and eggs I’m vegan - I do not eat MEAT,NOR eggs and cheese I’m allergic to_______________ (please, specify)
Others	(allergies, medicine, reduced mobility, etc...)

Organization you represent
Name		Telephone	(+)
website (www)		Fax
Country
What’s your role in the organization?
In what kinds of activities in your Organization do you participate?
How will your organization/association benefit from your participation in this activity?
Are you responsible for project writing?
Yes / No

Motivation and Experience

Why would you like to take part in this activity?

Do you have previous experience with international events like this one?

Participants’ travel cost
Please note that only cheapest means of transport and fares are subject to reimbursement (APEX airfare, 2^nd class train ticket, etc.). We do not reimburse taxi costs.
Participant’s name	From	To	Means of transport	Costs	Arrival time in Bucharest airport/ Busteni train station	Departure time from Bucharest airport/ Busteni train station	Observation

Please, remember that:

´ Obtaining a full travel insurance policy is the participant's responsibility

´ Providing the above information about special needs does not remove your own personal responsibility for ensuring your own safety.

´ To send us a copy of your tickets and invoices when you booked them

Declaration:
I agree that my personal data given in this application form may be made available to other participants (once admitted to the Activity). Yes No

I agree that the photos and images (taken during the activity) where I appear can be used by HAIR REDIVIVUS BUZAU and its partners in publications, websites, and projects to promote “Youth in Action” Programme addressed to general public.

Yes No

Place: Date: Signature:

Training course description

Participants: youth workers,youth leaders,youngsters over 18 years old

Aim:

- promote peace education and peace culture as a tool of increase cooperation between youngsters and youth structures in Europe and especially in intercultural conflicts and post conflict zones.

Activities: - games – ice breaaking, socializing,role plays

-workshops:– see activities programme

- main methods and sessions: forum theater,LARP(Live Action Role Play),video

-cultural visits in Busteni, Sinaia and surroundings

-intercultural evenings and Romanian traditional night

Venue: Busteni, Romania

Accomodation and food: Pensiunea Cristina Busteni (rooms of two to four with private bathroom and shower)

Activities: outdoor and at the location

All participants will receive youthpass certificate

Contact:

Tolea Postovei – [e-mail]

Catalina Postovei – [e-mail]

Check us on facebook: Tolea Postovei

Catalina Postovei

Дата добавления: 2015-11-04