Request to Attend "Climate Action - Engaging the Next Generation"

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When: Saturday, 05 December 2015 at 1:30 - 3:00 pm
Where: Camp Climate, YMCA Youth Hostel, 51 Rue de la Commune de Paris, 93300 Aubervilliers

Please use this form to register for the event. Confirmation of your registration will be sent on or before December 3rd. Note that only persons who have a confirmed registration will be allowed admittance to the YMCA Youth Hostel where the event is to be held.

What is your name? *

What is the name of your delegation or organization? *

What is your email address? *

Please confirm your email address *

How many spaces do you want to reserve? *

You may reserve up to 5 spaces, including one for yourself.

Please provide names and email addresses for each of the other members of your group.

Name and email for 1st additional participant

Name and email for 2nd additional participant

Name and email for 3rd additional participant

Name and email for 4th additional participant

Submit

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