DI POLAND TOURNAMENT 2018 – REGISTRATION FORM STEP 1: MEMBERSHIP

Name of School/Organization

Address Country

Phone Number E-mail

STEP 2: TEAM AND CHALLENGE INFORMATION

Team Name

Team Number*

Level EL ML SL UL

* optional

• The International Teams that don’t have their own National

Tournament will have the opportunity to present their Team Challenge Solution in front of Polish Appraisers and earn points that will qualify them for Global Finals 2018.

• The International Teams that have their own National Tournament can present their Team Challenge Solution as guests and will get the feedback points.

• All International Teams will take part in an Instant Challenge and Buddy Team Challenge.

STEP 3: TEAM MANAGERS

First Name Last Name E-mail Cell Phone Gender Passport number Country passport was issued in

1.

2.

STEP 4: TEAM MEMBERS

First Name Last Name Full date of birth Gender Passport number Country passport was issued in

1.

2.

3.

4.

5.

6.

7.

STEP 5: SPECTATORS

First Name Last Name Full date of birth Gender Passport number Country passport was issued in

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

STEP 9: DISABILITIES There is a person with disabilities in our Team.

� YES � NO

If you mark "YES", DI Poland Staff will contact you for details after registration.

STEP 10: T-SHIRTS (for Team Managers and Teams Members only, one t-shirt per one person)

Size S M L XL XXL

Amount for Team Members --------------------

Amount for Team Managers STEP 10: REGISTRATION PACKAGE

It includes: • Tournament fees, • housing, • meals (breakfast, lunch, dinner), • City Tours, • transport: airport transfers, transport between Hotel and the event

place, transport during city tours that you have chosen.

During the whole stay in Wrocław, every International Team will be accompanied by English speaking Group Leader provided by DI Poland.

All International Teams will be accommodated in a three stars standard

hotel: • Invite Hotel, • Ibis Wrocław Centrum,

You will be informed about your accommodation place soon after

closing International Invitational Teams registration.

Single rooms are available for Affiliate Directors or for teams after making additional payment $20 per person per night.

Whole group (Team Managers, Team Members, Spectators) have to choose one Package.

Accommodation Number of City Tours Cost Your choice

Package 1: Thursday - Wednesday 2 $740 per person

Package 2: Friday - Wednesday 1 $650 per person

Package 3: Saturday - Wednesday 0 $550 per person

STEP 11: CITY TOURS Package 1: select 2 City Tours Package 2: select 1 City Tour Package 3: no City Tours Whole group (Team Managers, Team Members, Spectators) have to choose the same City Tours. If you chose Package 3, please skip this step.

Name Your Choice The History of the City and Culture Day:

• The Market Square with The Dwarves City Tour • Polish folk culture shopping • Discovery Center of Centennial Hall

The Creative Day: • Hydropolis • Workshops at Gardens of Experiences ‘Humanitarium’

The Entertainment Day: • The Wrocław ZOO and Afrykarium • Jumping Hall • Sky Tower City View

STEP 12: CONTACT PERSON

Name

Role*

E-mail

Cell Phone *AD - Affiliate Director, RD - Regional Director, TM - Team Manager, C - Coordinator, P - Parent

Registration and deposit deadline: January, 31st

Deposit Value: $500 STEP 13: Choose Your final payment option:

� by bank transfer (full payment deadline: February, 28th), � by cash (full payment deadline: March 11th - at the Registration).

Thank you for filling in the Form!

Please remember to send it to DI Poland International Teams Coordinator - Malgorzata Keson at malgorzata.keson@dipolska.pl