June BreakThrough Registration
You are moments away from your BreakThrough. Your Harlequin journey starts here. Space is limited and your place is reserved once payment is confirmed.

BreakThrough Workshops:
22nd to 25th June 2022

Course Times:
Wednesday - 16h00 till about 23h30
Thursday - 16h00 till about 23h30
Friday - 16h00 till about 22h30
Saturday 10h00 till about 17h30

Group dynamics is an important part of the Harlequin process. We do, however, have restrictions on minimum participants (due to dynamics) and maximum participants (due to physical space and COVID regulations) for each workshop. We want to give you the best experience possible and therefore ask you to support us with this: The office can only work with numbers of participants that have committed by completing their forms and by honouring their financial agreements. To make sure that your space is secured, please do so as soon as possible.

Arrange to be at the Venue 15 minutes before we start to ensure all logistics are complete and to allow yourself to relax and have a cup of tea or coffee before we begin.

Sign in to Google to save your progress. Learn more
Email *
Name & Surname *
Name You Prefer To Be Called: *
ID Number (For Your Permit) *
Home Address: *
Cell No: *
Date of Birth: *
MM
/
DD
/
YYYY
Occupation: *
Introduced By: *
Their Contact Details: *
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy