Registration — University of Namur

Title

Mr.
Mrs.
Prof.
Dr.

First name

Name

E-mail address

Affiliation Your main affiliation (as short as possible) as it will appear on your badge (e.g. University or Company name)

Mobile phone number

List of hotels Hotel reservation will be done by UNamur. (first come first serve).

Hotel room

Single
Double
None

Hotel - Arrival date

Year / Month / Day

Hotel - Departure date

Year / Month / Day

Participation - River cruise and beer tasting - Sunday, June 28 5:00 pm

YES
NO

Participation - Dinner - Sunday, June 28 7:30 pm

YES

NO

Participation - Conference Dinner - Monday, June 29 7:00 pm

YES
NO

Participation - Farewell Walking Dinner - Tuesday, June 30 7:00 pm

YES
NO

Food Restriction

Vegetarian
Vegetarian (but eat fish)
Vegan
Allergic to gluten
None

Other

Property rights - Pictures I hereby give my consent to the organising parties of the abovementioned event to take pictures during the event and to spread or use these pictures for communication purposes of the organising parties.

YES
NO

Property rights - Personal information I hereby give my consent to the organising parties of the abovementioned event to add my name, surname, function and email address to the list of attendees of the event, which will be distributed among those present at the event.

YES
NO