Impact Balkans Registration
We are so excited that you're applying for Impact Balkans! Please fill out the form below and we will be in touch with you soon
Full Name
*
First Name
Last Name
Gender
*
Male
Female
Are you a(n)
*
Individual participant
Group member
Group leader
Birth Date
*
-
Day
-
Month
Year
Date Picker Icon
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
E-mail Address
*
example@example.com
Phone Number (Mobile)
*
-
Country Code
Phone number
WhatsApp (We will add you to a prayer group for Impact Balkans)
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Country Code
Phone Number
Occupation
*
Explain what school you attend or what job you have
Nationality
*
Your native language
*
Language skills
Please specify what other languages you speak and their language levels (average/fluent). e.g. English - fluent, German - average
Contact Person
In your home country
Full Name
*
First Name
Last Name
Phone Number
*
-
Country Code
Phone Number
Salvation & Church Membership
Name of the church you belong to and/or frequently attend
*
How do you serve God? (ministry, church, missions etc)
*
Why do you want to participate in Impact Balkans?
*
Pastor's or Leader's Information
Your pastor's or leader's name
*
First Name
Last Name
Email
*
example@example.com
Phone number
*
-
Country Code
Phone Number
I will email my pastor's or leader's recommendation letter to impact.registration@pem.pef.eu (I understand that my registration isn't complete before this)
*
Yes
Health
Check if any of these apply to you
I have health problems or disabilities that might affect outreach
I have prescribed medicine that I will be taking during outreach
I suffer from psychological issues
Allergies/food diet
Please list all allergies and food diets that we need to be aware of
Other things regarding your health that would be important to know
Travel
I assure that my passport / national identity card is at least six months valid after I leave from the Balkans
*
Yes
I will get a traveler's insurance
*
Yes
Estimated time of arrival
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Day
-
Month
Year
Date
Hour Minutes
I will be arriving by
*
Airplane
Public transportation
Car
Other
I need a shuttle from the airport
*
Yes
No
Training in Montenegro
15.-17.7.2024
I need accommodation
*
Yes
No
If yes, for how long?
14.-17.7.
15.-17.7.
List all members of your group (every group member is still obligated to fill out their own form)
e.g. name, gender (m/f), age 1) Peter Participant, M, 20 years
I need translation from English
*
Yes
No
T-Shirt size
*
Please Select
XS
S
M
L
XL
XXL
You will receive an Impact Balkans t-shirt that is included in the cost of the training
Workshops
You can participate in two workshops during Impact Balkans Training (15.-17.7.). Please select desired workshops from the list below (note: we can't guarantee that your requests will be fulfilled)
Workshop Choice 1
*
Breaking Chains - Human Trafficking
Children's Ministry
Creative
Drama
Hearing from Heaven
Intercession
Media
Sport
Street Preaching
Worship
Workshop Choice 2
*
Breaking Chains - Human Trafficking
Children's Ministry
Creative
Drama
Hearing from Heaven
Intercession
Media
Sport
Street Preaching
Worship
Outreach
17.-24.7.2024 - AFTER THE TRAINING IN MONTENEGRO
Choose the outreach(es) you are interested to serve in
Albania - Fushe Kruja
Albania - Tirana
Bosnia & Herzegovina - Camp
Bulgaria - Burgas
Bulgaria - Antitrafficking
Croatia - Camp
Greece - Greek Island
Kosovo - Pristina
Montenegro - Podgorica
Montenegro - Budva
Montenegro - Kotor
Montenegro - Cetinje
North-Macedonia - Skopje
Serbia - Bački Petrovac / Pivnice
Slovenia - Ljubljana
Riders
Describe how you and your team could serve in the Balkans
I need a scholarship (available ONLY for Balkan participants)
Yes
No
Reason for scholarship application
Terms & Conditions
I allow the Impact team to use all photo and video materials relating to my person without charge for all types of public relation purposes, including the publication of their photos and videos on the Impact web pages
*
Yes
No
I agree that my data will be collected and processed for the organization and implementation of this and future Impact events. My information will not be forwarded to third parties. I can revoke this consent in writing at any time.
*
Yes
No
I promise to honor the values of PEF (www.pef.eu), act in a good and Christian manner, and respect the instructions given by the Impact staff
*
Yes
I will pay the training fee (incl. costs for training, food, t-shirt) & accommodation at the latest upon arrival (note: your registration will not be completed before we receive a receipt for payment) (payment info at www.impactbalkans.com)
*
Yes
I will clarify outreach costs with the local contact person together with my team leader
*
Yes
Submit
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