The Hero's Journey - application form
22. - 30. 9. 2014, Vila Sklenářka, Czech Republic

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Name and surname *
Country *
What is your previous experience and connection with topics related to this training? *
What is your motivation to take part in this training? What would you like to learn, experience,...? *
How would you use new skills and insights back home? What could be possible follow-ups? *
How did you get to know about this training? *
Do you have any special dietary needs (vegetarian, kosher meal, food allergies, lactose intolerance etc.)?
Do you have any health problems or physical limitations (i.e. use of wheel chair, sight, hearing...)?
Do you have any special requirements related to practising your religion (time for prayers etc.)?
English - Please, specify your language abilities according to the following scale. *
very good
I don’t understand at all
Your email address: *
Your phone number: *
Your birth date: *
DD/MM/YYYY
Your sex: *
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