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International Public Speaking Competition 2012 Monday 14 May 2012 – Friday 18 May 2012

Accompanying Guest Information Form Accompanying Guests should complete this form and submit it via e-mail to ipsc@esu.org by Friday 6 April 2012

Country Accompanying Guest Personal Information

First Name(s) / Given Name(s) Surname(s) / Family Name(s) Date of Birth (dd/mm/yy) Gender (M/F) Accompanying Guest Contact Information

Home Telephone Number Mobile / Cell Number Mailing Address E-mail Address Accompanying Guest Travel Information1

Arrival Date / Time Arrival Airport Arrival Airline / Flight Number Departure Date / Time Departure Airport Departure Airline / Flight Number Accompanying Guest Additional Information

Accommodation (Twin / Single)2 Dietary Requirements (if any) Allergies (if any) Other Requirements (if any) Emergency Contact Information

Emergency Contact First Name(s) / Given Name(s) Emergence Contact Surname(s) / Family Name(s) Emergency Contact Home Telephone Number Emergency Contact Mobile / Cell Number 1

Please contact the IPSC Convenor if you require a letter of invitation for your visa application. 2 The accompanying guest registration fee is £300 (twin room) or £450 (single room).


Emergency Contact E-mail Address Additional Information 1. All accompanying guests should read the IPSC 2012 competition handbook in advance of the competition. The handbook has been sent to all National Competition Organisers and is available to download from esu.org/ipsc. 2. Two accompanying guests per participant are eligible to attend IPSC 2012. 3. “Accompanying Guest� (for the purposes of the IPSC and the competition handbook) means a guest who has submitted the accompanying guest information form and paid the accompanying guest registration fee. 4. All accompanying guests will be provided with accommodation for the duration of the IPSC 2012 programme. 5. Accompanying guests are invited to attend the heats, semi-finals and grand final, as well as the welcome meeting. Accompanying guests are not invited to attend any other activities, events and excursions which form part of the IPSC 2012 programme.


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