International winter expedition with methodical workshop. In english language.

Age	21+
Term	29.01.-13.02.2011
Place	Rychlebské hory (mountains in the Czech Republic)
	Price might be reduced according to the potential financial support from EU we apply for. 10 000 Kč (CZK) is approximately 400 € (EUR).
Price	10000 Kč

Course Registration

Terms of course
29.01.2011 - 13.02.2011 Rychlebské hory (mountains in the Czech Republic)
Personal Infromation
First Name		Family Name
Date Of Birth	dd/mm/yyyy	E-mail
Phone.		Mobile
Note (e.g. call after 6pm)
Correspondence Address
Street		Str. Num.
Town		Post/ZIP code
Permanent Address
Street		Str. Num.
Town		Post/ZIP code
Important Information
Swimmer	nonswimmer swimmer (I wake more than 200
State
Profession
Description of your Profession

Health problems

Other information