Registration PDC Form

 

1- Personal Details

• Full name *
• Gender *
  MaleFemaleNon-Binary
• Date of Birth *Information necessary to obtain accident insurance for the course, as mandated by Portuguese law.
• Nationality
• Identity Number *
• Tax Identification Number (TIN) This is important for reasons of insurance covered by the Association.
• Address
  Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongo (Brazzaville)CongoCosta RicaCote d\'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalestinian TerritoryPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWestern SaharaWestern SamoaYemenZambiaZimbabweCountry
• For applicants outside the E.U.
• Passport Number
• Issuing country
• Date of Expiry

 

 

2- Personal Contacts

• Email *
• Phone

Emergency Contact

Name

Phone

 

 

3- Course SELECTION & TUITION

• Course Selection *
  Two weeks PDC (1 to 14 October, 2023) - in english
• Course Tuition Options *
  Please select from the following tuition options; if you choose OTHER TUITION, please send additional information by email (ie: scholarship application, membership #, alumni referral etc)PDC Course - LOCAL TUITION 550€ (non-residential, lunches only)PDC Course - FULL TUITION 650€ (residential, all meals)OTHER TUITIONS and Schoolarships

 

 

4 - Motivation & Expectations

Help our teaching team plan the course better by answering the following questions:
• What are your motivations for doing this course? What would you like to learn?
• What skills and life experiences do you bring to the course?

 

 

5 - Needs

• Do you have any dietary or medical needs/restrictions? (only for a two week course)
  (ie: allergies, special diets, physical limitations, etc) Food during the course is vegetarian, sourced mostly from our farm and local markets.

 

 

6 - Data Consent

• Consent of Use of Personal Data
  Projecto Novas Descobertas (P.N.D) – according to Portuguese General Regulation about the Protection of Data – requests to use the personal data you provided above exclusively for: registration, insurance, preparation, and hosting of the course for which you are registering.I AUTHORIZE the use of my personal data for the ends referred above by Projecto Novas Descobertas.
• Model Release
  Projecto Novas Descobertas (P.N.D) may take photographs, reproductions, video, images or sound recordings of me during the course and use them for advertising, publicity or any other lawful purpose.YesNo

 

 

7 - Payment & Next Steps

• To secure your place on the course, please pay the deposit by bank transfer to the account below, and send proof of payment to patricia@valedalama.net. If the bank account is not in your name, please also include the name of the account holder with proof of payment.
• Bank - Caixa Credito Agricola IBAN: PT50 0045 7194 40152135171 36 BIC/SWIFT: CCCMPTPL
• Course deposit - 100 €
• Payment policies
• - Deposits become nonrefundable 1 month before the course start date.
• - Full tuition is due 1 month before the course start date.
• - In the unlikely case of course cancellation, participants will be notified at least 2 weeks before the course start date and tuition & deposit will be returned in full.
• - Emergency cancellation policy:
• We reserve the right to cancel a course until 2 days before the course start date if the course seems likely to coincide with a government-decreed quarantine/travel ban in our region due to the coronavirus or others, and as well any other states of emergency and natural calamities. In this case, we will refund tuition in full, including deposits.
• NEXT STEPS
• - If you do not receive a response within 5 working days, please check your Spam folder and/or add patricia@valedalama.net to your address book. - Registration forms will be reviewed in full by teachers & hosts a few weeks before the course begins. If you have urgent questions or comments please contact us by email - patricia@valedalama.net
• BILLING DETAILS
• Name
• NIF or VAT
• Country
• Address
• Email

 

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