Becoming Whole - Registration
Civil Name *
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Sanskrit Name *
Your answer
City, Country *
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Mobile phone no. *
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Email address *
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What are you wishing to get out of this program? *
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Date of Initiation in AM *
If you don't remember the exact date, enter an approximate one
MM
/
DD
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YYYY
Any special dietary needs?
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Retreat Contribution *
Please specify how much you can contribute for the retreat. The base cost is 150€ (food+sleep). We appreciate extra contributions to help cover other expenses (you can also decide on this during the retreat).
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Other observations
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Retreat Rules & Recommendations *
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