Registration form Blue Lotus Nile Immersion - Sacred Water Edition April 2024
Hi Beloved, 

Welcome! 

Please complete this short form as part of the registration process. Please note that a deposit of €500 is required to ensure your place.

We look so forward to gathering altogether next year.

Love Jasmeen & the Bliss School Team. 
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Email *
Full name & surname  *
Phone number with country code  *
Passport & county of issue *
Room type
Clear selection
Do you have any food requirements or allergies?
Emergency contact person. Please provide name & mobile number with country code. 
Have you participated in any Tantric retreats or workshops before?
Have you encountered any mental health or sexual related trauma in your past? If yes, have you received any support or therapy? Please describe. 
Do you have any physical ailments or conditions we should be aware of? 
To confirm your booking please pay the deposit €500 & email confirmation to alex@urbansanctuary.de (Jasmeen's organizer)

TRANSFER WISE DETAILS 
EMAIL: jasmeen.templearts@gmail.com

PAYPAL DETAILS: 
EMAIL: jasmeen.templearts@gmail.com

ACCOUNT DETAILS: 
Account holder
Yasmeen Fadl
SWIFT/BIC : TRWIBEB1XXX
IBAN : BE31 9674 3837 1355

Wise's address 
Avenue Louise 54, Room S52
Brussels
1050
Belgium
PROMO CODE (if applicable) 
✦ Cancellation  Policy ✦ Deposits are non refundable. You may use the deposit as a voucher to a future online retreat by Jasmeen if cancellation occurs 30 days before the event. 

Full payments must also be completed in full by 22 March 2024.

I have read and understand the Cancellation Policy.
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