SummerSchool | Univerzita Palackého

I have read and agree to the Terms and Conditions and GDPR *

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Accommodation *

I wish to stay in a double room

I wish to stay in a single room (for an extra charge of €70)

I do not need accommodation

Estimated date of arrival *

Estimated date of departure *

Name *

Surname *

Date of birth *

Place of birth (city) *

Place of birth (country) *

Citizenship *

Sex (information needed for accommodation) *

Female

Male

Passport number *

Email address *

Phone number including country calling code *

Do you want to join our Friday trip to Prague? *

Yes, I do.

No, I don’t.

Street address *

House number *

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City *

Region *

Country *

English level (according to CEFR) *

Allergies (if so, please specify)

Emergency contact name *

Emergency contact number *

Comments

Name of your home university

Address of your university

Type of degree (Bachelor’s / Master’s / PhD)

Study programme / major

Your current year at university (e.g. 2nd year)

Discount code

Total amount:

Sport for Development and Peace - Application form