Registration Form

for the 2017 European Youth Summit ( Budapest, 2017, 29 March – 2 April) Participants

Data of the participant:

Surname
First name
Nationality
Gender
Place and date of birth
Name of the accompanying teacher if
the applicant is under 18
Address of the participant
Mobile phone number
E-mail address
Passport/ID number

Status of the participant

Summit participant
Accompanying person

Delegating European Talent Centre

Delegating European Talent Point
Delegating Institution
Member of Youth Platform (yes/no)

Method of payment
the name and address of the
institution who covers the expenses
of the participant (Talent Centres,
Talent Point or other)
the expenses will be covered by the
organizers1

the expenses covered by the

participant (yes/no)

1
The participant will recieve an official letter that his/her expences will be covered by the organisers
Accommodation2
preferred roommates3
single room4

Special Diet

Special Needs5

Arrival/departure
Arrival date and time
Departure date and time
Method of travel

Note:

this registration form should be sent back to the following e-mail address:
csilla.fuszek@talentcentrebudapest.eu by the 17 February. But it can be sent back only by the
representatives of the European or Associated European Talent Centres - if you are a Talent Point
delegate or delegated from another institution please send the registration form first to the Talent
Centre in your country or according to the following:

Austria: Institute TIBI: elisabeth.halmer@kphvie.ac.at or ÖZBF: johanna.stahl@oezbf.at

Belgium (France and Luxembourg): tessa.kieboom@exentra.be
Czechia (Poland): zelenda@nidv.cz
Denmark (Scandinavian countries): ellen@ungetalenter.dk
Germany: ch.fischer@uni-muenster.de or albert.ziegler@fau.de
Greece: danaos@anatolia.edu.gr or gtsoulfa@act.edu
Hungary (Bulgaria, Romania, Moldova, Russia, Serbia, and Ukraine)
csilla.fuszek@talentcentrebudapest.eu
Ireland (UK): colm.oreilly@dcu.ie
Italy (Cyprus, Portugal, Spain and Malta): gifted@roncoroni.eu
Lithuania (Belarus, Estonia, Latvia and Ukraine): leonas.narkevicius@gmail.co or
The Netherlands: l.hoogeveen@ru.nl

2
Participants paid by the European Talent Centre – Budapest will stay in hotel rooms with 2 or 3 beds
3
Please indicate one or two names
4
If you are an accompanying person or pay for your own
5
Anything you want us to know about
Slovakia: zvono.bednarcik@leafacademy.eu
Slovenia (Albania, Bosnia-Herzegovina, Croatia, Kosovo, Macedonia, Montenegro, Serbia):
mojca.jurisevic@pef.uni-lj.si
Switzerland: victor.mueller@fhnw.ch
Turkey:(countries of the Caucasian region: Azerbaijan, Kazakhstan, Kirgizstan,Turkmenistan, Tajikistan
and Uzbekistan):fatihtokmak55@gmail.com

Participants from the Associated Telent Points can apply directly to:
csilla.fuszek@talentcentrebudapest.eu