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Youth Exchange Application

Please fill the form.

Name *

Surname *

Your E-mail *

Date of Birth *

Year Year197419751976197719781979198019811982198319841985198619871988198919901991199219931994199519961997199819992000200120022003200420052006200720082009201020112012201320142015201620172018201920202021202220232024

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Day Day12345678910111213141516171819202122232425262728293031

Address (street, number, city, postal code) *

Phone number *

Languages I speak *

I need special care / I have an allergy to / I am vegetarian or vegan *

Youth Exchange I want to participate in *

Youth Exchange "Call to Action" (21.-27.10.24 in Kryoneri Korinthias)

My interests / Why do I want to participate in the project *

I commit myself to actively participate in the program I chose. *

Yes

I agree to be photographed and videotaped for the purposes of the project and get posted on the website and social media of the association Filoxenia. *

Yes

No

I commit myself to pay the participation fee of 50€. *

Yes

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