Event Registration: STEP1 -> STEP2

Event Description:
VI Leadership Formation Institute

Event Date:
06/09/2015 Dinner - 26/09/2015 Breakfast

Event Place:
Italy Rome

Event Banner:
Event Banner

Take note that these details will be inserted in the ICCRS database. So please fill the fields with attention

* = Required fields


Personal Details

Name: *    Surname: *    E-mail:*   
Title: *    Gender: *    Second E-mail:   
Date of birth: *     Place of birth: *    Country: *   
 
Address: *    Town: *    State:   
Postcode:    Occupation:       
Home telephone:    Mobile:    Fax:   
 
Language: *   
Age Range: *    Other Info:   

Event Details


Shuttle Service:
I Need ICCRS Shuttle on 05/09/2015 
I Need ICCRS Shuttle on 06/09/2015 
I Need ICCRS Shuttle on 26/09/2015 
 
 
Visa Request: 
By email free - I require a visa to enter Italy: 
By courier with cost - I require an Official Letter of Invitation for Visa purpose to be sent by courier: 
 
 
Special Needs:
Disability - Visual impairment 
Disability - Wheelchair 
Food (Dietary) 
Medication 
Other 
 
Priests and Religious:
 (please, click the box 'ICCRS Sponsorship' and ask the password to the ICCRS Office)
 

Select the activities of the event you want to join: *

 
Stream  Date from  Date to  Register 
 VI Leadership Formation Institute   06/09/2015 Dinner   26/09/2015 Breakfast 
ICCRS Sponsorship: **  For those who received the approval of sponsorship from ICCRS - (ask the password to the ICCRS Office)

 ** If you are a Priest, Religious or Seminarian check this box for Participation Fee Discount