Mobile Educator 'Terugkomdag', 29 November 2016

This is the registration form for The Mobile Educator Terugkomdag,

29 November 2016.

The venue of the Terugkomdag is ICLON, Leiden University. We will send you directions to ICLON a week in advance.

Please fill in the appropriate fields below if you would like to participate. Thanks!

Your name *

Your email *

If you would like to take friends or family members with you to the 'Terugkomdag', please indicate how many. (They do not have to register separately.)

	Please tick only ONE answer
I participated in the first TME training, March - April 2016	Please tick only ONE answer
I participated in the second training of TME, August - October 2016	Please tick only ONE answer
I am a volunteer who is (or was) working with TME, or I was a donor of the TME training	Please tick only ONE answer
I am interested in the TME training programme, but was not yet involved.	Please tick only ONE answer

The next question is only for participants of the first or second TME training who would like to have their personal travel costs paid by TME:

Please indicate from which place in the Netherlands (village, town, city) you will travel to Leiden on 29/11. We will mail you a return train ticket that you can use from 9.00 a.m. onwards.

Please write here any remark or question you may have! If you are new to TME, you may indicate the reason(s) you would like to participate!

In case of any question, please send a mail to info@mobile-educator.org

Looking forward meeting you on the 29th of November!

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