Registration – XVIth Slovak and Czech Parasitological Days |

Registration Form*

*All fields marked with a red asterisk are mandatory.

Name*

First

Middle

Last

Institution*

Address*

Email*

Participant Type*

*PhD students, MSc students and undergraduate students are eligible for student fees. Proof of student status is mandatory. **All student lectures will automatically be entered into the Best Student Lecture Competition. *** The fee for accompanying persons includes meals and participation in the social programmes.

The registration fee includes:*

access to the scientific and social programmes, conference materials, coffee breaks, meals (lunches and dinners), a welcome drink, an experience trip to Nestville distillery, and a gala dinner.

I need to issue an official invoice for the registration fee.*

All participants will receive a confirmation of their payment. However, please be advised that this confirmation will not be in the form of an official invoice. Therefore, it is important for us to verify whether you require an official invoice to be issued.

I will arrive on*

I will depart on*

I will attend*

Welcome Drink
Trip to Nestville Distillery
Gala Dinner

Multiple options may be selected.

Attendance*

Active Attendance
Passive Attendance

Active Participants*

Please be advised that each individual is permitted to present a maximum of two presentations and may select the format of either a lecture or a poster.

Presentation No. 1*

Lecture
Poster Presentation

Authors*

Title*

Presentation No. 2*

Lecture
Poster Presentation

Authors*

Title*

Accommodation*

Please be informed that breakfast is included in the total cost of your accommodation.

I would like to book accommodation at the hotel Sorea Titris*

If yes, *

I wish to be accommodated alone
I wish to share the room with**

**Add the name of your roommate*

As room capacity is limited, we would greatly appreciate your understanding and cooperation in selecting a fully occupied double room when feasible.

I prefer*

a double bed
two separate beds
I have no preference.