Hi!

Welcome on the form site, thanks to which you’ll be able to register for Campus Letni UW 2021! It is the largest training and integration trip at the University of Warsaw organized by the Board of the UW Student`s Union!

After filling out the form, your application will be verified by the Departure’s Staff and within 7 days you will find out if you’ve been qualified as a participant of the Campus Letni UW 2021.

Trip details:

Date: 24th-29th of September 2021

Location: Mazury, Resort Niegocin

Fee: PLN 650 (includes costs of transport in bothways, Personal Accident Insurance, accommodation, meals on site and many attractions)

We cordially invite you to our Facebook event where we will be posting all up to date information: https://www.facebook.com/events/144853910212841/

Do you have any doubts regarding the form? Contact us via support.campusletniuw2021@samorzad.uw.edu.pl

Registration for the Campus Letni UW 2021

Personal Information

Name

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Last name

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Gender

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I'm a UW student

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Unit

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Year of studies

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Form of studies

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Field of study

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Date of birth

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Personal ID Number (it you don’t have please put 0)

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Address data

City

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Postal Code

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Street

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House number

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Apartment number

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E-mail address

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Phone number

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For foreigners: Polish citizenship

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Name and surname of the contact person (parent / guardian)

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Phone number of the contact person (parent / guardian)

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Medical Information*

Certificate of disability

Have you ever had anaphylactic shock?

Food allergies

What?

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Other allergies

What?

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Chronic diseases

Asthma

Diabetes

Hypertension

Heart failure

Other

What?

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Other Information

Are you on regular medications? **

What?

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Other important information

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*Providing medical information is optional

**Birth control pills are also important

Organizational Information

Diet

What?

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Transport

Shared accommodation (name and surname of a friend)

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T-shirt style

T-shirt size

Will you be vaccinated against Covid-19 on the day of departure? *

Why do you want to go to the Campus Letni UW 2021?

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What do you think, what would be the most important quality you’d enhance by participation in the Campus Letni UW 2021?

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*With two doses, or in the case of Johnson & Johnson vaccine with one dose

I acknowledge that I have read the Regulations "Campus Letni UW 2021" departure, and do hereby accept the terms and conditions contained in it.

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I acknowledge that I have read the Data Protection Agreement and do hereby accept it.

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I acknowledge that the data controller of my processed data is the University of Warsaw (26/28 Krakowskie Przedmieście Street, 00-927 Warsaw). I agree to the processing of my personal data contained in the above Form for the sake of an entry to the „Campus Letni UW 2021”, in accordance with Regulation (EU) 2016/679 of the European Parliament and of the Council of 27 April 2016 on the protection of natural persons with regard to the processing of personal data.

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Registration for the Campus Letni UW 2021

Personal Information

Address data

Medical Information*

Chronic diseases

Other Information

Organizational Information

Thank you for your registration