form two Fields marked with * are required Your first and last name * Address * City * City /Post- or zipcode * Country * Your Email * Mobile phone * Age at time of internship * Which year of study or how long certified at the moment of internship? * Which university? * Preferred place #1 * Preferred place #2 * Date of arrival at clinic (Preferably Saturday) * Date of departure from clinic (Preferably Saturday) * Is someone else coming with you? * If so, please provide name 2nd person 2nd person email address (Not from university) Mobile phone 2nd person Experience with castrations / sterilizations? * Do you agree to pay the mediation fee after a successful booking? * Yes No Did you read the essential information on the website and do you agree with the content? * Yes No Do you have any remarks or questions? Contact Us