1. First Name


2. Last Name


3. Gender
MaleFemale

4. Date of birth


5. Phone Number


6. Email


7. Address


8. City


9. State


10. Zip Code


11. Country


12. What LIFEROMANIA event do you want to attend?
Summer Camp W1Summer Camp W2Summer Camp W3Summer Camp W4Summer Camp W5Summer Camp W6MIA CaravanChampions WeekendMIA Winter CampMIA College

13. Please select your t-shirt size!
Please select a t-shirt sizeSMLXLXXL

14. Upload Background Check (Please name the file:"Background Check"; Type: pdf, Max Size: 2mb)


15. How did you hear about Life Romania?


16. Other notes: allergies, special conditions, etc.



17. Statement of Consent to the Processing and Use of Personal Data

>>> Download the "Statement of Consent to the Processing and Use of Personal Data" file here

Please download the pdf above and after completing the form (either digitally or physically) upload it as pdf (in case of digitally completion) or as a an image (a photo of the physical completed form).

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