Registration Physics & Pizza Dr. Tim Schröder 2022-05-09

participation

I will attend the event on-site.

surname (given name)

last name

e-mail address

Covid-19 Status

I have been vaccinated 3x (incl. booster)

I have been vaccinated 2x within the last 3 months (no booster so far)

I have recovered within the last 3 months

I was last vaccinated more than 3 months ago, but have not been boostered since then (submit current test result!).

I fell ill as a vaccinated person more than 3 months ago (submit current test result!)

data protection I agree to thew following: For the above-mentioned purposes DPG is storing and using my personal data. I have read and agree to the DPG data protection declaration (www.datenschutz.dpg-physik.de).