Working Together / Caring for One Another Workshop Registration Form

Working Together / Caring for One Another Registration Form

Family Name *
First Name *
Sex *MaleFemale
Nationality
Do you need a visa for France? *YesNo
Full Postal Address
Telephone
Fax
Email *
Organization for which you work *
Title/Role
I wish to be lodged at Le Rucher *YesNo
If you are on a special diet or have any special food requirements, please explain
What country/region are you working in? *
Please explain your role in the organization *
Who are you leading (how many people, what nationalities)? *
How do you plan to use this training in the future? *