Participant details Form - Mycelia Academy

Registration number *

Your registration number is your order number. It starts with # and you can find this number in your emails.

Participant details

If you want to register for more than one participant, you will need to make a form submission for each one. At the end of this form, you will be invited to fill in the details for the next participant.

For which course did you register? *

Substrate and Wood Fungi Production (September '23)
Substrate and Wood Fungi Production (November '23)
Mycelium Production (November '23)
COMBO: Substrate, Wood Fungi and Mycelium Production (November '23)

Name *

First

Last

Email *

Confirm Email

Gender

Birth year *

Participant address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Phone number *

Nationality *

⚠️ If you are a non-EU citizen, please answer the following questions.

Have you visited the EU in the past?

Do you need to get a Visa for Belgium?

Do you have already an approved Visa?

Prior knowledge

Your comments

Do you want to hear more from us?

Yes, I want to receive Mycelia Academy's newsletter.

You will not be spammed and your personal information will not be shared with third parties.

I have read and agree with the Privacy Policy.

Read our Privacy Policy.

Participant details

Participant details

Keep me updated about the next edition

Keep me informed!