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Honoring Roots // Roel van Huet
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Full name
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E-mail
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Date of birth (dd-mm-yyyy)
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Country of birth
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Full current address (including city and country)
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Describe your motivation for joining this training
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What is your experience with meditation/coaching/therapy/systemic work?
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Do you already have experience with facilitating groups? (not strictly required, but good to know)
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What accomodation option do you prefer? (first come, first serve)
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Single room – own sink, shared shower and toilet (stay+training = €1.600)
Shared room with two beds – own sink, shower and toilet (stay+training = €1.450)
Own tent (stay+training = €1.350)
In case of sharing a room, do you prefer a specific person? Write the name
Do you already know when and how (flight/train or car) you approximately will arrive?
I want to come one night earlier (25th of september)
No
Yes (€125 if you also want 3 meals)
accomodation of how
You have the possibility to let the venue prepare your bed and take of the sheets afterwards for €7 extra
No, I’ll do it myself
Yes I want this service (+ €7)
Do you have dietary requests?
No gluten
No diary
No nuts
Other
How did you hear about this course?
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I agree that my name, email address and location will be shared for car pooling purposes and for e-mails about Svagito's offerings.
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Yes
No
Privacy agreement
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I agree that my information will be securely saved and deleted after the course has finished (with the exception of above)
I agree that this course will be video recorded (possibly) and that I might be part of it
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Yes
No
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