Registration form
For the summer camp in Godinne, Belgium, from July 14 to 21, 2024
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Your Personal Data
First name *
Surname *
Birthdate *
MM
/
DD
/
YYYY
Your Address
Street *
ZIP, City
*
Country *
Contact details
E-Mail *
Phone *
Format:  +33 1 234 567 89
Practice
Dojo
Ordination *
First sesshin
Your stay in Godinne
Duration *
If your arrival and departure dates are not in the proposed choice, choose "Other" and enter the dates in the comment field
Rate *
Samu choice
Comments
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