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Course Information
Course
*
--- Please select ---
Summer Holiday Course for Teens
Activity Camp for Kids
Football Camp for Kids
Urban Dance Camp for Kids
High School Preparatory Program
Placement in a Public School
Please note: Our Language Camps for Kids are already fully booked for the summer vacations 2023.
Course start (Monday)
*
Course end (Friday)
*
German language skills
*
--- Please select ---
Beginner
Intermediate
Please note that fields marked with an asterisk (*) must be completed.
Your Contact Information
Title
--- Please select ---
Mr.
Ms.
Mrs.
Dr.
Given Name
*
Family Name
*
Address (including house number or P.O. box)
*
Zip Code
*
City
*
Country
*
Email
*
Telephone
*
Mobile Phone (in case of emergency)
*
In accordance with § 7 Abs. 2 Nr. 3 UWG (Act Against Unfair Competition), the use for further customer approach may be objected at any time free of charge.
Participant
Given Name
*
Family Name
*
Date of Birth
*
Nationality
*
Passport Number
*
Gender
*
--- Please select ---
male
female
non-binary
Height
Clothing size
Health Data
My child has health restrictions e.g. allergies, restricted mobility, chronic illnesses
*
yes
no
If yes, please describe the health conditions of your child more exactly; please also indicate if your child requires regular assistance or medications.
In order to deliver the services in line with our contractual agreement, we must store and make use of your health data so that we can determine if we are able to offer you the product that you have selected and where appropriate to make the necessary accommodations for you to be able to participate in classes and access the housing and other facilities. To do this we need your consent as a legal basis for this data processing. Your health data will not be used for any other purpose and will only be transferred to a data processor (in accordance with Article 28 GDPR) with whom we have entered into a contractual relationship that binds the processor to comply with statutory data protection standards. At the latest, your health data will be completely deleted 4 years after the end date of the last course. You may exercise all your rights concerning your data controlled by us and our data protection officer, including but not limited to rectification of these data at any time and where applicable you may request that the data be deleted at an earlier point in time. You can contact our data protection officer, Franz-Henning Ritschel, by email: datenschutz@cdc.de. In addition, you have the right to lodge a complaint against us with a European data protection supervisory authority.
I hereby allow CDC to carry out the processing of my health data as described above. I acknowledge that I have the right to withdraw this consent at anytime for the future use of these data.
*
yes
no
Accommodation
German language camp participants stay at the adventure farm.
Accommodation request Summer / Winter Holiday Course for Teens
--- Please select ---
Homestay Family, Single Room
Residence, Single Room
Residence, Twin Room
In case your selected accommodation is not available, please indicate your alternative choice:
--- Please select ---
Residence, Single Room
Residence, Twin Room
Homestay Family, Single Room
Arrival date (Sunday)
Departure date (Saturday)
Is the participating teen a smoker?
yes
no
Other
Is your child vegetarian?
yes
no
Other Services
I would like to take out a personal liability, accident, health insurance policy via Carl Duisberg Centren.
*
--- Please select ---
Yes
No
I need a Visa invitation
*
--- Please select ---
Yes, Mail (free)
Yes, with FedEx (€70)
No
I would like to book an airport transfer
*
--- Please select ---
yes
no
Route request
--- Please select ---
Zurich/Switzerland – Radolfzell – €180
Friedrichshafen – Radolfzell – €140
Stuttgart-Radolfzell – €300
Zurich/Switzerland – Accommodation German Language Camps – 180 €
Airport Transfer
On arrival
For departure
On arrival and departure
Finalize booking
Preferred payment method
*
--- Please select ---
Bank Transfer
PayPal (+10 Euro)
Language for correspondence with Carl Duisberg Centren
--- Please select ---
English
German
How did you hear about Carl Duisberg Centren?
--- Please select ---
Internet
Advertisement
Newspaper article
Personal recommendation
Other
I hereby agree that photos and videos made by and/or including myself as well as text sent to Carl Duisberg Centren may be used for external marketing and public relations purposes.
*
yes
no
You can revoke your consent at any time with effect for the future.
General Terms and Conditions
*
I have read and agree to the General Terms and Conditions for Carl Duisberg German Courses.
Click here to read the General Terms and Conditions
Data Protection Guidelines
*
I have read the Carl Duisberg Data Protection Guidelines.
Click here to read the Data Protection Guidelines
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Carl Duisberg German Courses
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