2012 Registration Form Code

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[TITLE] Ecotopia Biketour 2012 - Registration

[CODE] [contact-form 6 "Ecotopia Biketour 2012 - Registration"]

[FORM]

Name *:

   [text* bt-name]

Email*:

   [email* email]

Address

   [textarea* address]

Your privacy is respected.

Please let us know your: address hometown

postcode

Country of Residence:

   [text* residence]

Phone

   [textarea* phone x2]

Let us know your phone number(s) (don't forget international codes), this is really helpful for arranging where to meet!

Arriving:

   [date* bt-date-arriving]

Let us know the date you want to join. (Biketour starts 6/07/2012 with a preparation weekend in Barcelona, the first cycle day is 09/07/2012)

Leaving:

   [date* bt-date-leaving]

Let us know the date you plan to leave :(

Nationality:

   [text* nationality]

Commitment:
[acceptance agreeabout] I have READ the <a href="http://www.ecotopiabiketour.net/about">manifesto</a> and agree with it! * [acceptance agreediscriminattory] I understand that sexist, racist, homophobic or other <a href="http://www.ecotopiabiketour.net/home/join-us/participation-guidelines">discriminatory behaviour</a> will NOT be tolerated. * [acceptance agreetravelagency] I understand that Biketour is NOT a holiday package or a travel agency and it is up to all the participants, including me, to create a good tour. * [checkbox commitment "I have a BIKE and will bring it to biketour" "I want to bring my child, and I need a kid's trailer" "I have a bike with QUICK RELEASE, so that I can pull a trailer" "I HAVE camping equipment and will bring it to biketour" "I can SHARE my camping equipment and will bring it to biketour" "I do NOT HAVE any camping equipment" "I understand that this will be a multi-language group and will try to make myself understood and understand others (English is often the main language used)" "I can pay the daily participation fee" "I am keen to TAKE PART in Biketour's actions and events" "I understand it is MY RESPONSABILITY to organize my visas, medical insurance and extra money" "I've participated on past edition(s) of Ecotopia Biketour" "I am interested in helping to organise something(s) in preparation for this year's Biketour!" "I am interested helping to organise next year's Biketour!!!"] [acceptance agreefood] I am fine with eating local VEGAN/VEGETARIAN <a href="http://btwiki.ecobytes.net/Food">food</a> * [acceptance agreefly] I think FLYING is the worst form of transport and will seriously consider all other travel options first * [acceptance agreetasks] I will PARTICIPATE and VOLUNTEER in <a href="http://btwiki.ecobytes.net/Tasks">daily tasks</a>, such as getting food, cooking and cleaning. * [acceptance agreedecision] I will PARTICIPATE in the <a href="http://btwiki.ecobytes.net/Consensus">group decision making process</a> *

Get yourself informed on the principles of the biketour on our website before commiting to join!

Emergency contact + Health Care [textarea* emergency]


Very important in case of an Emergency!

Please give at least contacts of one person to be informed in case of problems (Name, phone number and relation with you).

Please also let us know about your use of medicines, allergies & dietary requirements.

What can you bring to the biketour? [textarea* bt-bring]

Skills, knowledge, experiences, an instrument, workshops, equipment, enthusiasm, creativity, personality.... write just a few sentences on why will everyone else be glad you're there!


How did you hear about the Biketour? (and any additional information) [textarea* hearabout]

</td<>

[submit "Send"]


</td<>


[MAIL]

To: join@ecotopiabiketour.net,[email] From: [email] Subject: (BT JOIN) [bt-name] from [residence] will join the biketour this year


[MESSAGE BODY] (mail)

Name: [bt-name]

Email: [email]

Address: [address]

Country of Residence: [residence]

Phone: [phone]

Arriving: [bt-date-arriving]

Leaving: [bt-date-leaving]

Nationality: [nationality]

Commitment: I have READ the <a href="http://www.ecotopiabiketour.net/about">manifesto</a> and agree with it! I understand that sexist, racist, homophobic or other <a href="http://www.ecotopiabiketour.net/home/join-us/participation-guidelines">discriminatory behaviour</a> will NOT be tolerated. I understand that Biketour is NOT an holiday package or a travel agency and it is up to the participants, including me, how well it will go. [commitment] I am fine with local VEGAN/VEGETARIAN <a href="http://btwiki.ecobytes.net/Food">food</a> I think FLYING is the worst form of transport and will seriously consider all other travel options first I will PARTICIPATE and VOLUNTEER in <a href="http://btwiki.ecobytes.net/Tasks">daily tasks</a>, such as getting food, cooking and cleaning. I will PARTICIPATE in the <a href="http://btwiki.ecobytes.net/Consensus">group decision making process</a>

Emergency contact + Health Care: [emergency]

What can you bring to the biketour? [bt-bring]

How did you hear about the Biketour? (and any additional information) [hearabout]

-- This mail is sent via register form on The Ecotopia Biketour http://www.ecotopiabiketour.net


[MAIL 2]

Use mail 2 (ticked)

To: Biketour-subscribe@lists.eyfa.org

From: [email]

Subject: subscribe


[MESSAGE BODY] (mail 2)

this email will subscribe to the mailling list automatically people that register on the biketour...

-- This mail is sent via contact form on The Ecotopia Biketour http://www.ecotopiabiketour.net


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