ETC 50th Anniversary | 2019 Conference Registration

First Name *

Last Name *

Gender

Male
Female

Date of Birth *

Country *

Email Address *

Mobile Phone (include your country code) *

Relationship to Teen Challenge

TC Director / Board member
TC Staff / Worker
TC Student
TC Graduate
Former TC Affiliate
Other (let us know in the comment box at the end of this form)

Visa Requirements

I would like to request a letter of invitation to attend the ETC Conference for applying for Visa. (Please include Passport information in the two fields below.)
I do not need a letter of invitation. (You do not need to fill in the Passport information in the two fields below.)

Passport Number

Passport Expiration Date

Arrival Date/Check-in

Monday, April 1st (check-in from 15.00/3PM)
Tuesday, April 2nd (1st day of the Conference)

Departure Date/Check-out Check-out on Friday is at 10.00/10AM. The conference concludes with lunch.

Arriving Flight Information

Departure Flight Information

Estimated Time of Arrival by car or train

Haven't booked your flight yet? Email us your flight information as soon as you have it: admin@teenchallenge.eu. Thank you!

Housing preference (see website for pricing and more information)

6-Person Cottage (double rooms)
5-Person Cottage (2 double rooms, 1 single room)
4-Person Cottage (double rooms)
Apartment (double room)

Roommate

In the field below, write the names of the people you would like to share the cottage with (your housemates). Remember: all participants, including babies and children, must be registered separately.

Housemates

Conference Fee Payment

Pay conference fee now
Pay deposit only (remaining fee must be paid before or at the conference)

Select Your Method of Payment

Online Payment (IDeal or PayPal)
I will transfer the money myself (within three days)

Early Bird Price (until January 31, 2019) Standard Price (cottage)---------------> € 270,-
Discount Country* (6-person cottage)-> € 200,-
2-Person Apartment-------------------> € 350,-
1-Person Apartment-------------------> € 450,-
Baby (0-2)------------------------------> € 15,-
Child (3-12)-----------------------------> € 200,-
Standard Deposit Fee -----------------> € 100,-
Deposit Fee Discount Country/Child--> € 50,-

*Because of economic realities we offer the following countries a reduced price: Albania, Belarus, Georgia, Kazakhstan, Latvia, Lithuania, Macedonia, Moldova, Russia, Serbia and Ukraine. The reduced price is for staying in a 6-person cottage only.

To pay online please select the appropriate amount below:

Online Payment

Additional Information

Updates

I would like to receive Europe Teen Challenge email updates
I would not like to receive Europe Teen Challenge email updates

Wiesbaden gathering

Please send me information about the gathering of those with connections to the Wiesbaden, Germany ETC office.

Disclaimer

We will do our best to adhere to your requested roommate and/or housemates. Please keep in mind that we cannot guarantee that you will share a room or house with your requested person(s), unless it is your spouse.
If you arrive earlier than Monday or depart later than Friday, it's your own responsibility to arrange housing.
Europe Teen Challenge reserves the right to make amendments to the program, costs or any other necessary information regarding the 2019 ETC Conference.

Agreement

I filled in this form truthfully and I agree to all the above mentioned statements.