JIM Retreat 2019 Registration


Registration form for JIM Retreat 2019.

Please complete the following registration form for our event Retreat JIM 2019. Our team will contact you later with more details by using the entered Email address. Therefore, please make sure you enter a correct Email address.

Note: the entered information will be kept confidential.

There are 14 questions in this survey.

A note on privacy
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The record of your survey responses does not contain any identifying information about you, unless a specific survey question explicitly asked for it. If you used an identifying token to access this survey, please rest assured that this token will not be stored together with your responses. It is managed in a separate database and will only be updated to indicate whether you did (or did not) complete this survey. There is no way of matching identification tokens with survey responses.

Registration Data

Email
 Please enter your email address.
Email (confirm):
Name
Birth Date

Format: dd.mm.yyyy

Phone Number
Category
Children (4-12 years old) - 40€ (30€ for payment until May 20th, 2019)
Student / Au-Pair / Azubi (older than 12 years old) - 115€ (105€ for payment until May 20th, 2019)
Others - 150€ (140€ for payment until May 20th, 2019)
Commute - 45€ per day (does not include meal and transport)
 

The seminar price (except for "Commute") includes the accomodation for 4 days and 3 nights* plus breakfast and two warm meals** every day.

*in a shared room up to 6 persons

**minus breakfast and lunch on the first day and minus dinner on the last day

Would you bring your own sleeping set (pillowcase, duvet- and bed cover). You will get a DISCOUNT of 10€ if you choose this option.

Foods & Beverages

How often do you drink coffee in a day?
I don't drink coffee
1-2 cups
more than 2 cups
In case you have food allergies or intolerances (e.g. lactose, eggs, nuts, etc.), please provide us with the information
Are you a vegetarian or vegan?
Vegetarian
Vegan
Neither of them

Transportation

Transportation Type
Private Car
Public Transportation

Message

Please let us know if you have any question or further remark.