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Personal Details |
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Name (First / Last )
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Address
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City
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Post Code
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Email address
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Phone number(s)
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Home
Mobile
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Date of Birth
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Gender
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Nationality
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Heard about LEATSS from
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Accommodation |
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I would like a single room at a supplement of €70.00 for the week {Please note: all single rooms are now allocated. Selecting this will add you to the waiting list) |
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I would like to share a room with
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I would like to enroll as a day student (no accommodation) |
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I would like a room with private bathroom at a supplement of €
70.00
150.00 for the week (Please note: all private bathrooms are now allocated. Selecting this will add you to the waiting list). |
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I would like to stay one extra night (Friday July 21st) at a supplement of €
30.00
40.00
50.00
40.00
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Dietary Requirements and Special Needs |
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I would like to take the meat option for meals (mostly meat, some fish and vegetarian) |
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I would like to take the fish option for meals (mostly fish, some vegetarian) |
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I would like a diet with neither fish nor meat |
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Please indicate any special needs (vegetarian, vegan, gluten free diet, mobility etc.)*
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Subsidised Attendance |
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I would like to apply for a LEATSS scholarship, to attend at the special reduced fee of €370.00 |
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Project Preferences |
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Course options will be made at the beginning of Summer School. However, we would like to gauge your interest in the student led practical project. |
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I am interested in directing/leading in the practical project |
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Data Privacy |
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I consent to LEATSS a.s.b.l. storing my personal data electronically according to their privacy policy |
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I consent to photographs taken during LEATSS events that contain images of me being stored electronically and used in publicity material. |
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| nine plus nine equals? |
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(this is just to check that you really are human) |
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*We cannot guarantee provision for all special needs, but will do our best |