Application form for Diskorunka participants

Participant data:

Name and surname, title *

Please fill in your name and surname.

Date of birth *

Please fill in your date of birth.

Email *

Please fill your email address.

Address *

Please fill in your address.

Payer data:

Fill in if the organisation pays for you.

Name of organisation

Please fill in the company name.

Please fill in the ID number.

Note for organizers

I agree to the processing of personal data in accordance with Regulation (EU) 2016/679. By submitting a binding registration form for the seminar, I agree to the payment and cancellation terms. *

Please tick to agree to the payment and cancellation terms.

I agree to the processing of personal data for the purpose of informing about the professional activities of DYS-center Prague. *

Please tick the consent for the processing of personal data.