RSR Workshop in LIGNANO Registration

1
Your Name* This field is required.
Name
Family Name
2
Email* This field is required.
example@example.com
Confirm Email
3
What is your Address?* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
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
4
Your Gender* This field is required.Response required for suitable accommodation
Male
Female
5
Birthdate* This field is required.
Date Format: YYYY-MM-DD
Year
Month
Day
6
Phone* This field is required.Type in international format , e.g. +391234567890 If a contact in the USA (country code +1) has the area code "408" You'd enter +14081234567
Prefix
Number
7
What is your Messaging Apps?
whatsapp
telegram
8
Are you registered with Ryushin Europe?* This field is required.
YESNO
9
BudopassFor RSR members only
Code in the format: EURS0123 (all uppercase) or S0123 (if without a passport)
10
Do you want to apply for the exam?* This field is required.Please select your answer from the list. You’ll receive the exam registration form at your email address
11
Which days will you attend the workshop?* This field is required.For each day of attendance, select the full day option or the single morning or afternoon class you will attend
None
Morning
Afternoon
Full day
Wednesday
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Thursday
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Friday
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Row 2, Column 2
Row 2, Column 3
Saturday
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
Row 3, Column 3
Sunday
Row 4, Column 0
Row 4, Column 1
Row 4, Column 2
Row 4, Column 3
Wednesday
Thursday
Friday
Saturday
Sunday
None
Row 0, Column 0
Morning
Row 0, Column 1
Afternoon
Row 0, Column 2
Full day
Row 0, Column 3
None
Row 1, Column 0
Morning
Row 1, Column 1
Afternoon
Row 1, Column 2
Full day
Row 1, Column 3
None
Row 2, Column 0
Morning
Row 2, Column 1
Afternoon
Row 2, Column 2
Full day
Row 2, Column 3
None
Row 3, Column 0
Morning
Row 3, Column 1
Afternoon
Row 3, Column 2
Full day
Row 3, Column 3
None
Row 4, Column 0
Morning
Row 4, Column 1
Afternoon
Row 4, Column 2
Full day
Row 4, Column 3
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12
Will you be staying at the workshop's partner facility?* This field is required.Book the workshop Hotel
YESNO
13
Which days do you stay at the hotel?* This field is required.Check off the individual days of your stay
Wednesday
Thursday
Friday
Saturday
Overnight Stays
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Row 0, Column 3
Overnight Stays
Wednesday
Row 0, Column 0
Thursday
Row 0, Column 1
Friday
Row 0, Column 2
Saturday
Row 0, Column 3
14
What are your room preferences?* This field is required.Please choose the type of room
Single
Double
Triple
Multiple
15
Who are your roommates ?For double, triple and multiple rooms you can indicate your roommates. We will do our best to make it possible
Specify the full name (first and last name) of the roommates, separated by semicolons
16
Admin PanelRoom rates are set in the Room Preferences tab
classes fees
discount
discount -eu
advance value (rate)
workshop fee
hotel fee
total due
advance due
17
advance tresholdAdmin : full payment if less than
18
full turnoutAdmin : all days if not equal 0
19
Registration confirmed by sending the advance payment of €{typeA96[7]}, by March 12, 2025 to RSRE (Bank Transfer or Credit Card)
Pay with CardSend Receipt bank transfer
20
Bank information

IBAN : FR76 1027 8073 6500 0202 5310 118
To register in the name of : Ryushin Shochi Ryu Europe
BIC : CMCIFR2A

Advance Registration Fee €{typeA96[7]}

Access the bank payment gateway with one click

CLICK >> PAY WITH CARD

SUMMARY OF YOUR PAYMENTS DUE

Workshop due : €{typeA96[4]} ; Hotel due : €{typeA96[5]} ;

Total amount : €{typeA96[6]}
21
Bank information

IBAN : FR76 1027 8073 6500 0202 5310 118
To register in the name of : Ryushin Shochi Ryu Europe
BIC : CMCIFR2A

Advance Registration Fee €{typeA96[7]}

For bank transfer to Ryushin Shouchi Ryu Europe

SUMMARY OF YOUR PAYMENTS DUE

Workshop due : €{typeA96[4]} ; Hotel due : €{typeA96[5]} ;

Total amount : €{typeA96[6]}
22
Payment Receipt* This field is required.You can attach your payment receipt here
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
23
Payment NotesAny notes on the payment made, for e.g. Indicate here the name of the card holder or the bank transfer holder, if different from the name of the workshop participant.
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