STUDY TRIP 2019

 

This year the Study Trip 2019 will go to Belgarde, Serbia. Do you want more information about the study trip? Send an e-mail to studiereiscomplex@gmail.com or treasurer@complextilburg.nl. You can always come by the board room as well for any questions or comments.

Are you already sure that you want to join us? Fill in this contact form.

 

GENERAL INFORMATION

First name

Initials

Last name

Gender

ANR (6 digits)

Date of birth

E-mail address

Mobile number

Document number passport/ID-card (make sure the number is from the same document as you will be using on the trip)

Vegetarian:
YesNo

Do you have any allergies? If yes, which ones?

Do you use any medicines? If yes, which ones?

Are there any other (medical) conditions we as a committee need to be informed about?

During the study trip we are going to stay in bedrooms with other people. If you have a preference for someone as a roommate, you can list 1 name max. below. We will then try to take your preference into account.

IN CASE OF AN EMERGENCY

In case anything happens when on study trip, we need some information about a contact person for you.

Full name

Mobile number

(optional) Telephone number (phone at home)

E-mail address

Relationship to participant

Thanks for filling in the registration form, we hope you are as excited as we are!