Registration Form Mobile Massage

Personal Information

Academic Title

First Name

Surname

Phone (Business)

E-Mail Address (Business)

Participation is approved

Name of the Supervisor Persons who do not need permission please enter the word "none"

E-Mail of the Supervisor Persons who do not need permission please enter the word "none"

I would like to register bindingly for the following offer: Offer: Mobile Massage | Provider: Martin Klein | Free choice of location | Time: times to be agreed directly with Martin Klein

yes no

I hereby confirm that I have read and accepted the "Notes on Registration".* "Notes on registration": The cost of the measure is 18 euros for 15 minutes and 23 euros for 20 minutes. You also have the option of purchasing a ten session card at a price of 170 euros or 215 euros. The amount for the individual massage is to be paid by you in cash directly to the provider before the respective massage appointment. If you purchase a ten session card, the full amount of 170 or 215 euros must be paid in cash at the first massage. You can take advantage of the massage offer a maximum of every two weeks during working hours. However, there is no obligation whatsoever.

yes no

Information on Data Protection I consent to my name and email address being forwarded to Mr Martin Klein when Healthy Campus Bonn carries out the mobile massage so that I can be invited or admitted to participate in the mobile massage. I am aware that when participating in an online offer, the data protection and terms of use of the online platform through which the event is offered apply.

yes no

*A successful participation in a Healthy Campus Bonn event requires that you have read and accepted the "Registration Information".

**A successful participation in an event of Healthy Campus Bonn requires that you have read and accepted the "Information on data protection".