PERFORM Project Conference Innovation in Science Education Through Performing Arts Registration form (14th

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PERFORM Project Conference Innovation in Science Education Through Performing Arts Registration form (14th - 15th June 2018)

** This form is both to confirm the attendance (all participants must fill it in). This event is organized by the PERFORM consortium.

Email *

Email address *

Registration

First Name (e.g. John) *

However you want us to write it in the participants' list, certificates and badges.

Surname(s) (e.g. Smith) *

However you want us to write it in the participants' list, certificates and badges.

Organization *

e.g. UNESCO, EUSEA, UCO, etc.

Title *

E.g. Director, Project Manager, Student, Teacher, Researcher, etc.

Organization Infomation

Check all that apply

My organization already has initiatives on STEM education and communication

My organization would like to get involved in initiatives on STEM education and communication

I don't belong to an organization

Country *

If you are attending on behalf of a project, please add the name and URL of the project

e.g. PERFORM, http://www.perform-research.eu

Dietary Requirements

e.g. vegetarian, Kosher, No pork, lactose intolerant, nut allergies, etc.

How did you find out about this event? *

Terms and Conditions

Please read carefully before agreeing

Do you want to subscribe to the Perform Newsletter?

Yes

Clear selection

Yes

I understand the list of participants will be published online (only name, surname, and organization/project)

I understand that PERFORM will provide coffee and lunch during the event

I understand that to process my application, collection and storage of personal data (name, surname, email address) is necessary. Access to this information is strictly limited to PERFORM and will only be used for this specific purpose. PERFORM will have access to account information provided by the user and can modify and/or delete information upon request.

I understand that during the event, pictures and video, where I will possibly be clearly identifiable, will be taken. This material will be used for dissemination purposes (i.e. press, brochures, web portal)

I understand that the organizers will have access to the information provided in this form. The information will be used solely for the purpose of organizing this event.

Yes

I understand the list of participants will be published online (only name, surname, and organization/project)

I understand that PERFORM will provide coffee and lunch during the event

I understand that the organizers will have access to the information provided in this form. The information will be used solely for the purpose of organizing this event.

Disclaimer

This event is supported by the European Union’s H2020 programme project, coordinated by the PERFORM consortium which have received funding from the European Union's Horizon 2020 Research and Innovation Programme, under grant agreements 665826.

A copy of your responses will be emailed to the address you provided.

A copy of your responses will be emailed to the address you provided.

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