IGRC - International Gesellschaft Rosalia Chladek

Registration

Please complete all sections to ensure a correct and fast processing:

Personal informations:

First name and Surname:	*
Birth date:	*
Nationality:	*
Postcode:	*
Town of Residence:	*
Street address:	*
Profession:
Telephone:
E-Mail:	*

	At the commencement of your studies you will be required to become a member of the Association Rosalia Chladek in your own country.
	I am a member of the ARC in
	I would like to become a member of the ARC in

Please indicate the course of study you wish to pursue:

	Information Course
	Cycle 1
	Cycle 2
	Cycle 3
	Cycle 4
	Cycle 6
	Advanced Course (After completion of cycles 3 or 4)

For the Information Course and Cycle 1:
Have you already worked in the Chladek® System?

	No
	Information Course in the year
	Weekend Course in:
	Other possibilities

Registration is only possible on the receipt of your registration fee.
You are requested to pay for the course in advance by Bank Transfer.
Insurance is not included in the Course Fees.