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International Center for Law and Religion Studies
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2025 Costa Rica Simposium Registration Form
Contact Information / Información del Contacto
Given Names / Nombre completo(s):
(Required)
Surname / Apellido(s):
(Required)
Gender / Género:
Gender / Género
Male/Masculino
Female/Femenino
Prefer Not to Answer/Prefiero No Responder
Birthdate / Fecha de Nacimiento (dd/mm/aaaa):
Day
Month
Year
Official Title / Título Profesional:
(Required)
Institution/Organization / Nombre de la Institución u Organización:
(Required)
Address Line 1 / Dirección 1:
(Required)
Address Line 1 / Dirección 1:
Address Line 2 / Dirección 2:
Address Line 2 / Dirección 2:
City / Ciudad:
(Required)
City / Ciudad:
Area / Área
State/Province / Estado/Provincia:
Postal Code / Código Postal:
Country / País:
(Required)
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country / País:
Preferred Name on Badge / Nombre preferido para su gafete:
(Required)
Work Telephone / Teléfono de trabajo:
Include country and area code / incluir código del país y del área
Mobile Phone / Teléfono celular:
Include country and area code / incluir código del país y del área
WhatsApp Number / Número de WhatsApp:
Include country and area code / incluir código del país y del área
Preferred Email / Correo electrónico principal:
(Required)
Travel Information / Información de Viaje
Will you need flights and/or lodging arranged for you by conference organizers? ¿Necesita que los organizadores hagan los arreglos de vuelos y/o de hospedaje?
Yes / Sí
No
(Passport only for international invitees) / (Pasaporte sólo para los invitados internacionales).
Passport Issued By (country) / Pasaporte emitido por (país):
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country / País
Passport Number / Número de Pasaporte:
Full Name on Passport / Nombre completo en el pasaporte
Passport Issue Date / Fecha de emisión de pasaporte:
Day
Month
Year
Passport Expiration Date / Fecha de expiración de pasaporte:
Day
Month
Year
Departure City / Ciudad de Origen:
(Required)
Return City / Ciudad de Regreso:
(Required)
Preferred Airline / Aerolínea de su preferencia:
Preferred Seating / Asiento de su preferencia:
Aisle or Window / Pasillo o Ventanilla
Frequent Flyer Number (if available) / Número de pasajero frecuente (en caso de estar disponible):
Known Travel Number (TSA PreCheck Number) (if available) / Número de pasajero con TSA Pre-check (en caso de estar disponible):
Accompanied by spouse/guest? / ¿Acudirá con acompañante?
Yes / Sí
No
Please note: Guest travel and additional hotel room costs are paid by the guest and not by the conference organizers. / Por favor, tomar en cuenta que los gastos de viaje del acompañante y los costos adicionales de la habitación de hotel son responsabilidad del invitado y no de los organizadores de la conferencia.
Spouse/Guest's Surname / Apellido(s) de acompañante
Spouse/Guest's Given Name(s) / Nombre(s) de acompañante
Will the participant be sharing a hotel room with their guest or does the guest need a separate hotel room? / ¿El participante compartirá una habitación de hotel con su invitado o el invitado requerirá una habitación de hotel separada?
Shared Room / Habitación Compartida
Separate Guest Room / Habitación Separada para el Invitado
Dietary Restrictions / Restricciones alimentarias:
Other Special Needs / Otras Necesidades Especiales
I have emailed (or will email) a scanned copy of the picture page of my Passport (only for international invitees). / He enviado (o enviaré) por correo electrónico una copia escaneada de la hoja con fotografía de mi pasaporte (sólo para los invitados internacionales).
(Required)
Yes / Sí
No
Only for Speakers:/ Sólo para los ponentes: I have emailed (or will email) a high-resolution headshot of myself. / He enviado (o enviaré) por correo electrónico una fotografía profesional de alta resolución de mí mismo.
Yes / Sí
No
I am willing to receive further communications from the organizers (e.g., program information, flight arrangements, etc.) / Estoy dispuesto a recibir comunicaciones adicionales de los organizadores (por ejemplo, información del programa, arreglos de vuelo, etc.)
(Required)
Yes / Sí
Only for Speakers:/ Sólo para los ponentes: Please write a brief biography in paragraph form (limit to 150 - 200 words) (Can cut and paste from another document). / Por favor, redacte una breve biografía en formato de párrafo (limitada a 150-200 palabras) (Puede copiar y pegar desde otro documento).
Link:
COSTA RICA PERMISSION FORM/FORMULARIO DE PERMISO
Consent / Consentimiento
(Required)
I agree to the privacy policy. / Acepto la política de privacidad.