Registration form 'Summer School German (and) Theology' 2023

Dear Sir or Madam, to sign up for the „Summer School German (and) Theology“ from 3 July – 21 July 2023, please fill out all mandatory fields and confirm your registration by ticking the following box:

Summer School German (and) Theology 2023.(Required)

I hereby sign up for the 'Summer School German (and) Theology' 2023.

Company / University(Required)

Mr./Mrs./Other(Required)

Titel

Name(Required)

First Name Last Name

Preferred Name

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Nationality(Required)

Date of Birth(Required)

E-Mail(Required)

Phone(Required)

Level of German

Which languages do you speak?

Do you need to apply for a visa? (please check your country’s visa conditions)

Yes

No

If yes

Please insert the address you want the invitation letter sent to (e.g. your country’s embassy/consulate or your home address). Please note that we will send the invitation letter only once. Please ensure that the address you entered is valid and can be found by the postal service.

Do you have any health conditions or physical disabilities that require special accommodation of some sort (e.g. vision impairment, paraplegia, diabetes)?

Yes

No

If yes

Please specify in the box.

Are you taking any medication for physical or mental health reasons?

Yes

No

If yes

Please specify in the box.

Do you suffer from any allergies?

Yes

No

If yes

Please specify in the box.

Consent(Required)

I understand that I am personally responsible for the safekeeping of my passport/visa and other travel documents, currency, or other valuables. I understand that the Johannes Gutenberg University and the ZWW are not responsible in any way in the event of loss or theft of personal items.

I understand that Johannes Gutenberg University and the ZWW are in no way liable for anything that should occur to me during travel to, and participation in the course.

I agree to take over all costs that might arise due to a spontaneous need for any extra service related to a medical condition.

Terms of condition and data privacy.

Registration form 'Summer School German (and) Theology' 2023

Theologie