Yes, I want to register myself for a Workcamp.
I have read and understood the conditions and prerequisites and want to register.

My family name is:

My first name is:

I live at: City



Street and Number

My EMail address is:

My telephone number is:

My birthdate is:

I speak these languages:

I come with:

health insurance
liability insurance
residency permit

I am available between this date:

and this date

I would like to work with:

We make the effort to consider the desired workarea(s), but cannot promise that work only in this area will be available. We view it as a matter of course that participation is to be expected in all general chores.

I have an issue with: