Dechen Chöling Registration

Werma Intensive

December 26th, 2008 - January 9th, 2009

with Acharya Mathias Pongracz

 
 
 

 

Personal Information
 
Gender *
First Name *
Last Name *
Street address *
Zip/Postal Code *
City *
Country *
State/Province
Telephone
Fax
Email *
Date of birth *
Shambhala Buddhist practice level
Do you require interpretation? *
More info

We require advance notice for interpretation and it's not quaranteed it will be available.


Children
Will you bring any children? *
If you bring children, what are their names and when are their birthdays. To register your child for Childcare please contact the front office two months in advance.
Food & Accommodation
Are you a vegetarian? *
If you have any food allergies,
what are they?


Choose your Accommodation / Room Type *
Arrival and Departure
How will you travel here? *

December 26, 2008 is arrival day for this programme, and departure day is January 9, 2009.

If your arrival or departure day is not what is listed for the programme, please list dates:

Arrival day: *
Departure day: *

Please explain your arrival and departure day (if different from programme dates):
Pickup
If you need our shuttle to pick you up, fill in details below. For our shuttle service, we ask for at least one week's notice of pickup time and place.
(€0)
Time
 (+ €15)
Time
 (+ €12)
Time