INFORMATION REQUEST FORM 

The following form must be completed in full, without leaving any fields blank. Please type your answers or write in
comprehensible handwriting to ensure the accuracy of the data. 
Once filled out, please return it to nadir.paltenghi@locarnofestival.ch with a copy of your COVID VACCINATION CERTIFICATE
(should you already be fully vaccinated) and a copy of a VALID ID.  Thank you in advance for your kind cooperation. 
 

Do you have a valid Covid yes No

certificate? X
COVID-19 vaccine type / name

Number of doses

Date of last dose

Country of vaccination

Copy of COVID-19 vaccine

certificate (English version if
available)

Copy of valid ID/Passport