Registration form

8th - 12th November 2021

First name*

Surname*

Gender*

Home institution, city, country*

Department at your institution*

Position*

Topic of your lecture*

Email address*

Mobile phone number (in case of organizational changes, optional)

Planned date of arrival*

Planned date of departure*

Do you wish to book a room at Hotel Garni?*

Special dietary restrictions and requirements (e.g. vegan, vegetarian, allergy)*

Would you like to visit the Ostrava Planetarium on Thursday, 11 November?*

Would you like to visit the Manufactory of the honey cakes Marlenka on Thursday, 11 November?*

Please rewrite text from picture*