space-eye.org
Given name
Last name
Phone number
E-mail address
Number of adults and children aged 12 and over
Number of children under 12
Please describe your group briefly (age, gender,…)
For more then five persons: group may be split
What is your current accomodation
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I have no place to sleep
With friends or family
Public shelter
At a hotel
Can you pay for your accommodation?
Name of an reperesentative
E-mail address of the representative
Phone number of the representative
Day of arrival
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January
February
March
April
May
June
July
August
September
October
November
December
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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
31
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2022
2023
Which pets do you have *
Dog
Cat
Small animal
None
How many pets do you have
Do you have a car?
Spoken languages
German
Ukrainian
Russian
English
Additional languages
Are all members of your group fully vaccinated against COVID-19?
Does anyone in your group smoke?
Do you have accessibility needs?