Dreaming with Joseph/Yussuf                                  Application Form

With this form you can apply for the Bibliodrama Interfaith Workshop starting on Saturday evening  October 14th 2023 ending on Tuesday morning the 17 th 2023

You can arrive earlier and stay longer in the youth hostel. But you have to arrange that yourself. 

Prices:  320 € Doubleroom/300 € Three/four people
A discount for early birds subscribing before September 1st is € 30 ( It makes 290/270€ )
Minimum: 8 participants
Final date is September 15 th 2023  or at number of 16 participants
Application is fixed after payment. 

Payment should be made on: 
Accountnumber : BE81 0017 9046 7224 BIC/SWIFT: GEBABEBB
Het Leerke

with mentioning your name and Dreaming with Joseph/Yussuf

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Email *
Surname *
Family name *
Country of residence *
Address and telephone number ( mobile) *
Date of birth. Please remember to check the year. *
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DD
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What is your job or profession? *
By which religious/cultural background would you define yourself? *
How do you rate your English-language-ability? *
Required
BIBLIODRAMA BACKGROUND
Tell short some relevant interfaith experiences that could be interesting for this workshop.  *
Did you participate in bibliodrama workshops? How many approximately? Experiences ? Places? *
I will arrive probably at about ( time)  *
For sharing a room I prefer to do this with
It is OK to give my email address to the other participants. *
Required
I give permission to use pictures *
Required
I have found this workshop thanks to...
Other remarks ( diet, ...)
A copy of your responses will be emailed to the address you provided.
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