Registration | Jeremia-Werk

Name*

First Name Family Name

Date of Birth*

Address*

Address line 1 Address line 2 Postal Code City Country

Telephone*

E-Mail*

Would you like to stay in a room by yourself?

I would like my own private room (additional 5€ per night)

We have rooms with a single bed and rooms with two single beds where you would have a roommate.

Terms and Conditions*

I have read and agree to the Terms & Conditions for participation in the school.

Would you like to share anything else with us?

If you are ok with it, we will save your email address in our mailing list and send you occasional updates about current events and news from the Jeremia-Werk ministry. Special invitations are sent by mail.*

Sure! Send me information via email and post
No thanks, maybe later

Name

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