Registration Form: Deep Dive into Nature and Self
We are excited to welcome you on our 4 week guided journey, cultivating a deeper connection to ourselves and the land around us!

Thank you for taking a moment to fill in this form. It will help us to learn a little bit more about you, your intention for joining us and your preferred ways of being in touch.

This form is confidential and your data will not be shared with anyone but us 2 facilitators.

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Email *
What's your full name? *
What's your e-mail address? *
How/ on which platform did you hear about the course? *
Where are you currently based? *
What age are you?
What is your gender or preferred pronouns? *
Do you already have an idea about where you would like to spend your one day Solo?  Tell us more. *
What attracted you to the course? *
What is your initial intention for joining this process? (eg. life transition, new role, deeper listening...) *
Would you like to join the optional Signal group to stay in touch with the facilitators and participants throughout the journey? *
What is your financial contribution?  *
Do you have any questions or concerns in regards to the course? *
By registering in our workshop “ Deep Dive into Nature and Self”  you accept the following:                    I understand and acknowledge that my participation in the programme is voluntary. I understand that the programme might bring up challenging emotions at various times. In attending the programme I agree to assume total responsibility for my own safety and well-being. I release from all liability and any legal responsibility the facilitators of the programme for any injury, illness, accident, loss, or other misfortune that may occur in connection with my participation in the programme.
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