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RETREAT REGISTRATION
November 29th - December 1st 2019
Name *
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Email *
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Date of Birth *
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DD
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Occupation
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Emergency Contact: Name, Phone number *
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Is this your first Workshop? *
Dietary Requirements/Allergies?
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Any Medical Conditions?
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What would you like to achieve from attending this workshop? *
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Where did you hear about me? *
What method of payment do you prefer? *
If you have any questions or concerns please contact: cornerstonesofselflove@gmail.com
For Accommodation booking contact: welcome@zeitpunktraum.de
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