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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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Country
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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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Workshop Preferences |
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Workshop 1 The Modern Chorus (Lawrence Evans) |
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Workshop 2 ( ) |
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Workshop 3 ( ) |
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Accommodation |
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I would like a single room at a supplement of €30.00 per workshop (subject to availability) |
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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 €
60.00
100.00 per workshop (subject to availability). |
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I would like to stay extra nights at a supplement of €
30.00
per night
per night
per night
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Before my course
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After my course
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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 other special needs (vegetarian, vegan, gluten free diet, mobility etc.)**
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Project Preferences |
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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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| six plus ten 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 |