CONFERENCE REGISTRATION FORM

SOCIAL WORK AND THEOLOGY - TWENTY YEARS OF A DIALOGUE 

11. - 12. 4. 2013.   

JABOK Institute, Salmovská 8, 120 00 Praha 2, Czech Republic.

Please tick the relevant option or fill in further information:

Name, Forename, Title: 

E-mail or another contact:

Institution:

Are you a student?
YES 
NO

Do you study at JABOK or PTF UK? 
YES 
NO

Do you wish to have a dinner at the social evening on Thursday April 11th?
YES                                        Vegetarian: YES      NO 
NO

Do you wish to have a buffet lunch on Thursday April 11th?
YES 
NO

Any preference to take part in a particular section on Thursday afternoon (subject to availability)?  
Section A  Social Pedagogy and Education 
Section B  Social Work inspired by Theology 
Section C  Theology inspired by Social Work 

Will you need an invoice/receipt for your institution (please fill in the details if so)?

Further requests/questions? 

Please fill in this Registration Form  and send it by email to jabok@jabok.cz or by post to JABOK, Salmovská 8, 120 00 Praha 2, Czech Republic.
Any enquires and requests for further help can be made to the School Secretary Mrs. Anna Hradilkova. Phone: 00420-224 920 425. Email:  jabok@jabok.cz