Dechen Chöling Registration

Qi Gong (Niveaux 3,4,5)

10 - 17 septembre 2010

Avec Eva Wong

 
 
 

 
Personal Information
 
Gender *
Prénom *
Nom de famille *
Adresse *
Code Postal *
Ville *
Pays *
State (USA, Canada, Mexico)
Téléphone
Fax
Email *
Emergency Contact Name *
Emergency Contact Number *
Date de naissance *
Quel est votre niveau d'apprentissage Shambhala
Vous avez besoin d'une traduction? *
Plus d'information

Nous avons besoin de connaître à l'avance vos besoins de traduction, il n'est pas garanti que ce soit disponible.

Children
Do you bring 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
Êtes vous végétarien? *
Merci d'indiquer si vous avez une allergie à la nourriture et laquelle?

Choose your Accommodation / Room Type *

Please be aware that Dechen Chöling can not guarantee requests for accomadation indoors.

Bringing your own tent is highly appreciated. Dechen Chöling is depending on a large amount of personal tents in order to accommodate everyone.
Arrival and Departure
How will you travel here? *

Septembre 10 is arrival day for this programme, and departure day is 17 .

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.
(+ € 5)
Time
 (+ € 15)
Time
 (+ € 12)
Time

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