2026 Kraków Conference: State Regulation and Religious Freedom Registration Form - International Center for Law and Religion Studies

Salutation (e.g., Mr., Ms., Mrs., Dr., Prof., Rev.)

Given Names(Required)

Surname or Family Name(Required)

Honorific

Gender(Required)

Birthdate(Required)

As indicated on your passport, please.

Preferred Name on Badge(Required)

Given and Surname only please.

Job Title/Position(Required)

Organization Name(Required)

Contact Information

Address Line 1

Address Line 2

Address Line 3

City

State/Province

Postal Code

Country(Required)

Preferred Phone (include country and area code)(Required)

WhatsApp Number (include country and area code)

Preferred Email(Required)

Alternate Email

Primary Language(Required)

English Fluency(Required)

Assistant Information

Assistant Name

Assistant Work Phone

Assistant Email Address

Are you traveling internationally or just within Poland to the conference?(Required)

If you are covering your own travel and hotel expenses, please indicate below.

Covering own expenses

Internationally

Just within Poland

Passport and Visa Information

Full Name on Passport(Required)

Passport Number(Required)

Passport Issue Date

Passport Expiration Date

Passport Place of Issuance

Passport Issuer

Please upload or email a copy of your passport photo page

A copy may be emailed to Sherie Rogde [email protected].

Max. file size: 20 MB.

I have uploaded or have sent a copy of the personal photo page of my passport.(Required)

A copy may be emailed to Sherie Rogde [email protected].

Yes

Do you need assistance to process visa?(Required)

Please specify visa assistance needed

Travel Information

Departure City (and Airport)(Required)

Return City (and Airport)(Required)

Preferred Airline

Preferred Seating

Frequent Flyer Number (if available)

Will you be accompanied by spouse/adult guest?

Please note: Guest travel and additional hotel room costs are paid by the guest and not by the conference organizers.

Guest Information

Please carefully read the statement below.(Required)

I acknowledge that I will be responsible for any additional travel and hotel fees.

What is the guest's relation to you?(Required)

Spouse/Guest's Given Name(s)(Required)

Spouse/Guest's Surname or Family Name(Required)

Will you be sharing a hotel room with your guest or does the guest need a separate hotel room?(Required)

Conference Information

Dietary Restrictions

Other Special Needs

Please upload or email a high resolution headshot

A copy may be emailed to Sherie Rogde [email protected].

Max. file size: 20 MB.

I have uploaded or have sent a high resolution headshot(Required)

A copy may be emailed to Sherie Rogde [email protected].

Yes

I am willing to receive further communications from the organizers (e.g., program information, flight arrangements, etc.)(Required)

Please write a brief biography in paragraph form (Can cut and paste from another document)(Required)

Link: View Kraków Conference Terms and Conditions and Personal Data Processing Provision

Consent(Required)

I agree to the above terms and conditions relating to the event.

Participation Agreement(Required)

I accept the invitation to participate in the 2026 Kraków Conference: State Regulation and Religious Freedom.

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Date