RegForm

SIBA Registration Form

Personal Information
Name*

First NameLast Name
Permanent Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Gender*

MaleFemale
Date of Birth*

DayMonthYear
Contact Person: List a person we can contact in case of an emergency*

First NameLast Name
contact person details: (Incl. country code)*

Mobilee-mail
Do you suffer from any medical conditions/disabilities?*

NoYes
If you do, please specify:
Presently Training at:*
How many weeks?*
Rooms & Meals: Accommodation at the dormitories and full meal plans*

YES - room & mealsNO - no room & no mealsLunch & Dinner only - I will stay in Salzburg privately
How did you hear about SIBA?*
Remarks/Questions: Any additional information or questions, (also if you are coming with a chaperon, please write here)
I will pay the 300 EUR Registration fee (NOT INCLUDING TRANSFER FEES) by:

Bank Transfer / Wire TransferPay Pal
*By submitting this form I agree to pay the registration/Processing fee of 300 EUR (*Refundable 50% if cancelled before May 31) upon registration, in order to secure my place. The balance to be paid by June 30, 2021. *PayPal payments will be charged 3.5%.

By submitting this form I agree to all terms and conditions specified in the Prices Page
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SIBA Registration Form