Rest to Rise at Imbolc (1-3 February 2019), Les Serans: Registration Form
Email address *
First Name / Prénom *
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Last Name / Nom de famille *
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Mobile telephone number / Natel *
Your answer
Room preference / Préférence de chambre *
Personal needs & motivation for participating / Besoins et motivations personels pour participer *
Your answer
Language / Langue *
Required
Transport *
Required
Any food intolerances & requirements / Intolérances & besoins alimentaires
Your answer
Any medical issues (physical, psychological), medication, or current emotional issues you are dealing with / Problèmes médicales, médicaments ou état émotionnel
Your answer
Any questions / D'autre
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