APPLICATION FORM

Country *

Name, Surname, Family name*

Day, month, year of birth *

Place of birth:

Adress:

e-mail *

Tel *

Place of study

Class

Teacher

Please, let me be allowed to participate In category

Age groups

First round

1.

2.

3.

4.

Second round

1.

2.

3.

Third round

I’ d like accommodation in:

ОStudent’s residence

YES NO -------- number of people

Hotel

YES NO -------- number of people

I need / do not need a corepetitor:

ДА НЕ

Comment