Persönliche Angaben |
Name: |
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*Vorname: |
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*Alter |
Jahre alt |
*Tag/ Monat/ Jahr der Geburt |
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*Sex |
Männlich
Weiblich |
*Ausweisnummer |
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*Exp. Date (dd/mm/year) |
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*Studium |
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*Anschrift |
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*Stadt |
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*PLZ |
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*Land |
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*Telefonnummer ((Land, Stadt und Anschluss without spaces) |
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E-mail: |
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*Persönliche Hobbies |
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Describe your personality in a few words |
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Angaben zur Familie |
*Vater |
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*E-MAIL |
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Handynummer |
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Geschäftsnummer |
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*Mutter |
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*EMAIL |
|
Handynummer |
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*Student lebt mit |
beiden Eltern
nur Mutter
nur Vater
anderes |
*Eltern sind: |
verheiratet
geschieden
getrennt lebend |
| Im Notfall benachrichtigen (Kontaktperson, Adresse, Telefon und E- Mail in Ihrem Land für den Fall, dass wir jemanden während Ihres Aufenthalts in Spanien benachrichtigen müssen.* |
|
| **All your personal details included in this form are for the exclusive use of ZADOR, School of Spanish and TAU Baskonia Basketball Club, and for the arrangement and charge of the services selected by the student (course, accommodation, activities, transfer, insurance, etc.). |
Program |
*Weekend in Barcelona
(10 to 12 July) |
Yes
No |
Basketball Camp - No. weeks
(1 week or 2 weeks) |
|
|
12-07-2009 to 19-07-2009
19-07-2009 to 26-07-2009
12-07-2009 to 26-07-2009
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Do you want an Intensive Spanish Course in Vitoria before or after the Basketball Camp? |
Yes before the camp
Yes after the camp
No
|
If yes,how many weeks? |
|
| Please, specify specify arrival or departure dates, the kind of accommodation for extra weeks Spanish Immersion (host family, hotel or apartment, residence (depending on avalability) |
|
*Spanish level (From level 1 to 10, being 10 the higher) |
Level
|
*Muttersprache |
|
Andere Sprachen |
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How long have you been studying Spanish |
|
Unterkunft |
*Unterkunft |
Ja
Nein |
*Art der Unterkunft |
Wohnheim
Gastfamilie |
*Anreisedatum |
|
*Abreisedatum |
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Anzahl der Nächte |
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| Spezielle Bedürfnisse (Allergien, Diäten, medizinische Probleme) |
|
| Regarding the accommodation, you are expected to arrive on the Sunday 12th July or 19th and to leave on Sunday 19 or 26th July. If you want to extend your stay before or after the course, consult the possibility of extra nights in a family or in the residence. |
| Are there any other habits you have that should be taken into account for your accommodation? |
|
Extra nights before |
|
Extra nights after |
|
Are you travelling with a companion? |
Ja
Nein |
Same accommodation? |
Ja
Nein |
Companion's Name |
|
Basketball details |
*How long have you been playing basketball? |
|
*Category you play in |
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Team you play in |
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*What is your position? |
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Championships you have taken part in during 08/09 season |
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School you study at |
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*How many training sessions do you have per week? |
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Have you ever taken part in any Basketball Camp before? Where & When? |
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*Describe your strongest points as a basketball player |
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*Describe your weakest points as a basketball player |
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*How tall are you? (cm) |
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*What do you weigh? (kilos) |
|
*T-Shirt Size (S M L XL XXL |
|
*Do you want additional basketball clothes |
Ja
Nein
|
| You can see basketball clothes at the TAU Ceramica Baskonia Store. Please, write model name, number of items and price. |
Additional T-Shirts |
|
Additional Shorts |
|
Additional Jersey |
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*Have you ever had a serious injury? |
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*Which parts of your way of playing would you like to improve at the Campus? |
|
*What are your sports goals? |
|
Weiterer Service: Flughafentransfer und Versicherung |
| Travel, Medical and accident insurance is included in the price. |
| *Cancellation Insurance |
Ja
Nein
|
| * Transfer service from 8 am to 10 pm from Vitoria airport, Vitoria train station or Vitoria bus station is included in the Fees for Junior and Children. From other places (Bilbao, Madrid…), and before 8 am and after 10 pm, there is an extra charge. |
| *Transfer |
Ja
Nein
|
| Transfer from |
Vitoria train station
Vitoria airport
Vitoria Bus
Other
|
| Arrival |
|
Arrival date |
|
Arrival place |
|
Coming from |
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Flight Nº |
|
Time |
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| Departure |
|
Departure date |
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Departure place |
|
Going to |
|
Flight Nº |
|
Time |
|
If you do not need pick-up service, please specify mean of transport, arrival date and time and contact details of accompanying person if different from the parents: |
|
Zahlung |
Anzahlung - 300 € |
Die Registrierung ist erst gültig, wenn wir die Kopie des Zahlungsbelegs für die Anzahlung oder den Gesamtbetrag erhalten haben.
|
*Anzahlung
(Zahlung per Überweisung, Kreditkarte, Post) |
|
| Gesamtzahlung per: |
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| Wie wünschen Sie kontaktiert zu werden? |
| |
|
Per E-Mail
Per Telefon |
|
| Kommentare/ Fragen: |
|
Unterschrift des Schülers oder der Eltern (voller Name und Unterschrift) |
Mit meiner aceptación bestätige ich, dass ich die Bedingungen des oben genannten Einschreibungsverfahrens gelesen, verstanden und akzeptiert habe und ich versichere, dass alle Informationen in diesem Formular der Wahrheit entsprechen. Mein Sohn / meine Tochter hat die Erlaubnis, sich für einen, von ZADOR und TAU Ceramica organisierten, internationalen Sprachaufenthalt zu bewerben und daran teilzunehmen.
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| Sicherheit: Bitte geben Sie die Zeichenkombination ein: |
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