First Name

Surname

Email address

Currently I live/work in:

I work in this context:

I’m signing up because...

I would also like to point out the following:

I understand that this exchange meeting is intended as a safe space for Bi_PoC / people who experience racism, and I know that I can contact the TRANS* - JA UND?! team if I am unsure whether the event is intended for me or not.

Optional: Sign up to the Trans*-Bi_PoC-Jugendarbeit-Mailinglist (communication on the mailing-list usually in german):

I would like to be added to the bipocjugendarbeit mailing list using the email address provided above, so that I can be kept informed about upcoming dates for the exchange meetings on trans* Bi_PoC youth work.I would like to be added to the bipocjugendarbeit mailing list using a different email address, and I am entering this in the text field below.I do not wish to be added to the mailing list, or I am already on the list.

Alternative email address for inclusion on the mailing list:

Privacy notice: All personal data provided will be stored solely for the purpose of project accounting and will not be disclosed to third parties other than those involved in the project. Once the statutory retention period for data relevant to accounting has expired, the data of project participants will be permanently deleted.

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