Download Report

deadline: April, 15th 2015
Page # 1/5
1
WISPA KRAKOW 2015 ENROLMENT FORM
(sent April, 15th 2015 at the latest)
1A- DELEGATION
NAME OF THE DELEGATION:
OFFICIAL MAIL ADDRESS OF THE DELEGATION
STREET:
POSTCODE:
COUNTRY:
PHONE:
EMAIL:
NR:
TOWN:
FAX:
1B- CONTACT PERSON
NAME OF THE CONTACT PERSON:
NAME OF THE LEADER'S DELEGATION:
OFFICE MAIL ADDRESS OF THE CONTACT PERSON
STREET:
POSTCODE:
TOWN:
COUNTRY:
PHONE:
CELL:
EMAIL:
HOME MAIL ADDRESS OF THE CONTACT PERSON
STREET:
POSTCODE:
TOWN:
COUNTRY:
PHONE:
CELL:
EMAIL:
SURNAME:
SURNAME:
NR:
FAX:
NR:
FAX:
1C- DETAILS OF THIS APPLICATION (ENROLMENT FEES - PARTY NIGHTS - DEFINITIVE ENROLMENT)
Deadline ?
Method ?
April, 15th 2015

Payment of enrolment fees (Eur 60) and 4 Party nights (Eur 40) = Eur 100;

Returning this 'definitive enrolment form' to the organizing committee
COST OF ENROLMENT FEES & PARTY NIGHTS
Concerns: all participants (player, spouse, etc) up to 12 years old
Amount: Eur 60 + Eur 40 / person
Total : Eur 100 / person
Eur
Total for the delegation :
1D- PAYMENT DETAILS FOR ENROLMENT FEES & 4 PARTY NIGHTS
DEADLINE APRIL,15th 2015
Please deposit money for the enrolment fees, party nights & the accommodations charges:
INTERNATIONAL POLICE ASSOCIATION - SEKCJA POLSKA
UL. KOCHANOWSKIEGO 2A 60-844 POZNAŃ POLSKA
ING Bank Śląski S.A ul. Sokolska 34
IBAN: PL 39 1050 1331 1000 0023 2522 1832
Nr BIC /SWIFT:/ INGBPLPW
40-086 Katowice Polska
(Currency : EURO)
For all info regarding payement please contact:
Mister Arkadiusz Skrzypczak , IPA General Secretary - IPA section Poland
Phone : +48783112112
E-mail: askrzyp@onet.pl
The emphasis is placed above all else that you enjoy your stay with us.
As soon as your foot touches the Polish soil, the organising committee does every thing in our power
to help you make the most of your time with us. Our objective is that you will live an unforgettable
moment, full of memories, partaking in our event.
WA15-enrolmentForm.xls
info http:// users.skynet.be/wispa wispa1.wix.com/wispa-events-photos
facebook : WISPA KRAKOW 2015 event
deadline: April, 15th 2015
Page # 2/5
2
WISPA KRAKOW 2015 ENROLMENT FORM
(sent April, 15th 2015 at the latest)
2A- DELEGATION
NAME OF THE DELEGATION:
NAME OF THE CONTACT PERSON:
2B- COMPOSITION OF THE DELEGATION & ACCOMMODATIONS
PARTICIPANTS
SURNAME
NAME
most of the rooms are singles or doubles.
ROOMS
SEX(M/F) DATE of BIRTH
SINGLE
DOUBLE
(TRIPLE)
(FAMILLY)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Please make a selection for each couple married or familly.
Total of rooms :
2C- CHOICE of the HOTEL / Hotel PENSION
Prices in Eur/night/person breakfast incl. :
YES
Each delegation has the choice by one of the 10 hotels/pensions suggested by the organizing committee.
1
2
3
4
5
6
7
8
9
10
name
Prezydent
Krynica
Panorama
Karczma
Saol
Flora
Gwarek
Mewa
Amphora
Bozy Dar 2*
stars
4*
4*
3*
3*
3*
2*
2*
2*
2*
2*
single
88
30
23
17
16
15
15
15
15
14
double
63
30
23
17
16
15
15
15
15
14
triple
NO
x
17
16
15
15
15
15
14
The rooms have to be booked only by the committee, not directly by the delegations.
Date of Arrival :
August 2015
Date of Departure:
August 2015
Number of Nights :
Nights
Total of the accommodation charges for the delegation in Eur :
WA15-enrolmentForm.xls
info http:// users.skynet.be/wispa wispa1.wix.com/wispa-events-photos
Eur
facebook : WISPA KRAKOW 2015 event
deadline: April, 15th 2015
Page # 3/5
3
WISPA KRAKOW 2015 ENROLMENT FORM
(sent April, 15th 2015 at the latest)
3A- DELEGATION
NAME OF THE DELEGATION:
NAME OF THE CONTACT PERSON:
3B- HOTEL PAYMENT DETAILS
DEADLINE MAY,31st 2015
Please deposit money for the accommodation charges on the same bank account than
the enrolment fees and party nights charges. To be booked you must may 100% of your rooms.
MAY,31st 2015 (minimum 50% of accommodations charges)
Deadline ?
Please deposit money for the enrolment fees & the accommodations charges:
INTERNATIONAL POLICE ASSOCIATION - SEKCJA POLSKA
UL. KOCHANOWSKIEGO 2A 60-844 POZNAŃ POLSKA
ING Bank Śląski S.A ul. Sokolska 34
40-086 Katowice Polska
IBAN: PL 39 1050 1331 1000 0023 2522 1832
Nr BIC /SWIFT:/ INGBPLPW
(Currency : EURO)
For all info regarding payement please contact:
Mister Arkadiusz Skrzypczak , IPA General Secretary - IPA section Poland
Phone : +48783112112
E-mail: askrzyp@onet.pl
3C- PHILANTHROPIC ACTION (August, 28th 2015)
Info coming soon about the WISPA philanthropy action (hospital in Krakow for children).
NAME
SURNAME
AGE
FUNCTION & TITLE
1
2
3D- GRAND OPENING CEREMONY (August, 24th 2015)
Flags of each country will be provided by the organizing committee free of charge.
NAME
SURNAME
AGE
FUNCTION & TITLE
1
2
3
At least two people (uniform dress) of each delegation will take part at the opening ceremony. The rest of the delegation will be the spectators.
3E- INTERNATIONAL SECURITY CONGRESS (August, 28th 2015)
The enrolment of the international security congress is free of charges. Snacks & drinks will be provided. A certificate is provided.
NAME
SURNAME
AGE
FUNCTION & TITLE
1
2
3
The subject or the topic of the meeting will provided to delegations during the month of April 2014.
3F- Indoor Soccer FAIR-PLAY Tournament (August, 25th, 27th & 29th 2014)
Each delegation may present or register several teams. The enrolment is free of charge.
I TEAM #1
NAME
1
2
3
4
5
6
7
8
9
10
11
12
WA15-enrolmentForm.xls
Nominations:
SURNAME
AGE
x
SEX(M/F)
#1 Women division
#2 Senior division
(35 years old and more)
#3 Junior division
(up to 35 years old)
Mixt team is allowed
Colours of shirts:
info http:// users.skynet.be/wispa wispa1.wix.com/wispa-events-photos
set 1
set 2
facebook : WISPA KRAKOW 2015 event
deadline: April, 15th 2015
Page # 4/5
4
WISPA KRAKOW 2015 ENROLMENT FORM
(sent April, 15th 2015 at the latest)
4A- DELEGATION
NAME OF THE DELEGATION:
NAME OF THE CONTACT PERSON:
II TEAM #2
NAME
Nominations:
SURNAME
AGE
x
SEX(M/F)
#1 Women division
1
2
3
4
5
6
7
8
9
10
11
12
#2 Senior division
(35 years old and up)
#3 Junior division
(up to 35 years old)
Mixt team is allowed
Colours of shirts:
III TEAM #3
NAME
set 1
set 2
Nominations:
SURNAME
AGE
x
SEX(M/F)
#1 Women division
1
2
3
4
5
6
7
8
9
10
11
12
#2 Senior division
(35 years old and more)
#3 Junior division
(up to 35 years old)
Mixt team is allowed
Colours of shirts:
IV PLAYERS FREE FOR WISPA INTERNATIONAL TEAMS
NAME
SURNAME
AGE
set 1
set 2
Each delegation has to provide some players for the WISPA int. Teams
SEX(M/F)
1
2
3
4
5
4B- EXCURSIONS outside basic programme
These excursions are not obligatory for the participant.
The organising committee may propose some excursions outside the basic programme when the
delegation'll not play (free day), These prices negotiated include transport, guide & entrance.
The excursions charges may be paid on the same bank account than Enrolment fees, Party Nights charges
& accommodations charges. Thank you !
x
YES
NO
August, 26th Krakow & Wieliczka
Eur 40/person (lunch incl.)
YES
NO
August, 30th Nowy Sacz Galician
FREE of charges
YES
NO
August, 30th Auschwitz-Birkenau
Eur 20/person
WA15-enrolmentForm.xls
info http:// users.skynet.be/wispa wispa1.wix.com/wispa-events-photos
facebook : WISPA KRAKOW 2015 event
deadline: April, 15th 2015
Page # 5/5
5
WISPA KRAKOW 2015 ENROLMENT FORM
(sent April, 15th 2015 at the latest)
5A- DELEGATION
NAME OF THE DELEGATION:
NAME OF THE CONTACT PERSON:
5B- ACTIVITIES FREE OF CHARGES
This concept was created for the first world event in 2000, the activities 'free of charge' is a very interesting
set-up for all participating parties. In fact, the participants prepay a certain sum at the inscription,
the organizing committee negotiate the best possible prices for various services, and,on the other hand,
the participant will benefit from a range of activities during the event.
Free of charges:
 Welcome gift and transport between activities (airport(s)-hotel-locations)
 Opening ceremony with meal and animation (24th)
 Leader's briefing (23rd) and WISPA meeting (29th)
 Krynica-Zdroj City Tour & River Rafting (24th)
 WISPA International Police Congress (28th)
 Indoor soccer tounament (25th, 27th & 29th)
 Closing ceremony with trophys, meal and prices giving (29th)
 Assistance
5C- VISA APPLICATION
The organizing committee will help the delegation in aplying for visas at your arrival in Amman.
x
YES
NO
If yes, the delegation must sent the list of travellers for the June, 15th 2015 at the latest to the Org'
committee (askrzyp@onet.pl) attn to Mister Arkadiusz Skrzypczak, IPA General Secretary - section Poland.
Name, surname, sex, date of birth, passport number and expiry day will on this list.
The delegation needs a Jordanian visa :
5D- IDENTITY PHOTO - badge - event book
Each participant will be identified during their stay in Jordan by a badge with individual photo.
This photo'll be used also for the event book of the manifestation.
The delegation must send on the photo (passport size) of each participant for the June,15th 2015
at the latest to the organising committee.
5E- INTERPRETER
The main language of the event will be english. The organising committee will provide if possible
a mother thongue interpreter for each country.
5F- FLIGHTS of the DELEGATION
Flights of the members of the delegation:
1/ARRIVAL IN POLAND
Last
Airport :
Next-to-last
Airport :
Date
arrival :
Last
Flight # :
Time of flight arrival in last airport
(Krakow, Propad or Kosice) :
2/DEPARTURE FROM POLAND
First Airport
Date departure :
Time of flight departure from Poland :
First Flight # :
This form (5 pages) must be sent to the attn of The WISPA KRAKOW Organizing committee on
wispa@skynet.be
We advice to send a copy of your enrolment form to
Krzysztof & Ewa Bulanda :
boks_krynica@poczta.fm
Arkadiusz Skrzypczak, IPA Gl Secr. :
askrzyp@onet.pl
Thank you !
Thank you for your co-operation, please fill out the forms carrefully to avoid confusion later ! See you
next August in Poland !
WA15-enrolmentForm.xls
info http:// users.skynet.be/wispa wispa1.wix.com/wispa-events-photos
facebook : WISPA KRAKOW 2015 event