Application form for Gestalt theatre therapy
We are inviting you to participate in three day international intensive workshop on topic Gestalt Theatre Therapy – a tool for Individual and Social Change led by Diego Marin Romera, Gestalt therapist and trainer in non formal learning, specialist in Gestalt Theatre applied in work on conflict solving and personal development. Workshop will be hosted by Mladinski center Zagorje ob Savi from 7.-9.2.2020.
Application fee is 120,00 EUR.

1.) Fill in the application form bellow.
2.) After you fill in the application form Nina (international@mczos.si) will send you details about payment procedure.
3.) After the payment you will receive a confirmation of participation.
*all application forms will be valid for 7 days from the date of applying - if the fee is not paid within 7 days, it is cancelled and no longer valid!

Name and surname *
Your answer
City, country *
Your answer
Date of birth *
MM
/
DD
/
YYYY
Organisation/company name
Your answer
Your profession or occupation (describe) *
Your answer
E-mail adress *
Your answer
Phone number *
Your answer
Psychotherapy experience *
Your personal and professional motivation for this workshop: *
Your answer
I am aware that the workshop will be in English and I am able to communicate in English. *
I am aware that I have 7 days to pay the application fee otherwise my application is not valid. *
I am aware that participation fee includes the costs of the workshop and coffee breaks (and doesn't include accommodation and other meals). *
Submit
Never submit passwords through Google Forms.
This form was created inside of MC ZOS. Report Abuse