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Personal information

First name applicant *

Please enter your first name here. If you are registering with a group, then you can add the information of the other group members later on in this form.

Preposition

Last name *

Street *

House number *

Postal code *

Place *

Country *

E-mail *

Phonenumber *

Accommodation

Date of arrival *

Date of departure *

Accommodation *

Bed and breakfast - €35,- p.p.p.n.
Full board (+ lunch and dinner) - €49,- p.p.p.n.

Details of all persons, applicant included *

Please enter your own information as well as the information of the other group members here. Are you not registering with a group? Then you only have to enter your own information.

1	Name * Date of birth * Distance * Gender * Ingeloot
1	Name * Date of birth * Distance * Gender * Ingeloot

Extra persoon

Do you object to sharing a double bed with someone form your group? *

This only applies if you are booking for a group.

Do you object to sharing a room with someone from your group (two beds)? *

This only applies if you are booking for a group.

Preferences

Do you object to sharing a room with an unknown (two beds) if there are not enough rooms? *

We are trying our best to keep everyone’s wishes in mind. However, we might not be able to create the perfect match as there might not be enough rooms available. Please keep that in mind.

Do you smoke? *

Are you allergic to pets? *

If so, namely

Do you have other diets? *

When we are aware of your dietary requirements, we can communicate this with the host family. The host family can then take this into account when preparing the meal (s). If you answer yes with this question, a suitable host family will be searched manually. However, the possibilities can then be limited.

If so, namely

Do you want to eat vegetarian? *

Which languages do you speak? *

English
French
Dutch
Spanish
German

Do you have other wishes?

Pay

Payment method *

iDEAL
Credit card
PayPal
Bancontact

Summary

I agree with all terms and conditions of Vierdaagsebed *