contestants` registration form

13th European Union Science Olympiad
26th April – 3rd May 2015 Klagenfurt Austria
CONTESTANTS’ REGISTRATION FORM
This form should be sent by your country coordinator to [email protected]
no later than on 15th of March 2015
Country:
Each student is expected to possess the European Health Insurance Card.
Student 1 – Team A
First name:
Surname:
Date of birth:
Gender:
Female
Male
Home address:
School name:
Emergency phone number*:
Spoken languages:
Food-dietary requirements:
Medical requirements:
T-shirt size:
XS
S
M
L
XL
XXL
Student 2 – Team A
First name:
Surname:
Date of birth:
Gender:
Female
Male
Home address:
School name:
Emergency phone number*:
Spoken languages:
Food-dietary requirements:
Medical requirements:
T-shirt size:
XS
S
M
COUNTRY:
* Country code, area code, number
1
L
XL
XXL
13th European Union Science Olympiad
26th April – 3rd May 2015 Klagenfurt Austria
Student 3 – Team A
First name:
Surname:
Date of birth:
Gender:
Female
Male
Home address:
School name:
Emergency phone number*:
Spoken languages:
Food-dietary requirements:
Medical requirements:
T-shirt size:
XS
S
M
L
XL
XXL
Student 4 – Team B
First name:
Surname:
Date of birth:
Gender:
Female
Male
Home address:
School name:
Emergency phone number*:
Spoken languages:
Food-dietary requirements:
Medical requirements:
T-shirt size:
XS
S
M
COUNTRY:
* Country code, area code, number
2
L
XL
XXL
13th European Union Science Olympiad
26th April – 3rd May 2015 Klagenfurt Austria
Student 5 – Team B
First name:
Surname:
Date of birth:
Gender:
Female
Male
Home address:
School name:
Emergency phone number*:
Spoken languages:
Food-dietary requirements:
Medical requirements:
T-shirt size:
XS
S
M
L
XL
XXL
Student 6 – Team B
First name:
Surname:
Date of birth:
Gender:
Female
Male
Home address:
School name:
Emergency phone number*:
Spoken languages:
Food-dietary requirements:
Medical requirements:
T-shirt size:
XS
S
M
COUNTRY:
* Country code, area code, number
3
L
XL
XXL