UNICEF - A Question Mark Hangs Over Gaza

Name of the school*

Name*

Surname*

Address (street, number, postcode & city)*

E-mail*

Phone number*

Date of the visit*

Please indicate several possible dates.

Time of the visit*

The visit can take place between 12.00 and 18.30 and should last approximately 1 hour.

Number of participants*

Max. 25.

Remarks, if any