Registration Form Mobile Massage Personal Information Non Academic StaffAcademic Staff Academic Title First Name Surname Phone (Business) E-Mail Address (Business) Participation is approved The supervisor agrees with the participation.No authorisation is required. 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: yes no Offer: Mobile Massage | Provider: Martin Klein | Free choice of location | Time: times to be agreed directly with Martin Klein I hereby confirm that I have read and accepted the "Notes on Registration".* yes no "Notes on registration": The cost of the measure is 19 euros for 15 minutes and 25 euros for 20 minutes. You also have the option of purchasing a ten session card at a price of 175 euros or 230 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 175 or 230 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. Information on Data Protection yes no 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. Submit UniID Please fill out this field using the example format provided in the placeholder. The phone number will be handled in accordance with GDPR. *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".
