APPLICATION: BEING Leader Mastery, Italy, 11-18 Sep 2021
Please use this form to register ONLY ONE PERSON. If you are registering more than one person, please register each separately.

[KINDLY DO NOT APPLY IF YOU ARE NOT IN LEADERSHIP OR IN A VISIONARY ROLE. THANK YOU]

The programme is offered on a ‘COST + DONATION’ basis [you will cover your share of accommodation, food & other necessities]. The costs/participant are estimated to be around 30 euro per day.

IF YOU WISH TO MAKE A DONATION FOR SUJITH’S FACILITATION, AT THE END OF THE PROGRAMME YOU MAY.


Only 12 participants are taken into the programme. Once you have applied;
1. Sujith will arrange a one-on-one chat with you to see if this programme is ideal for you
2. And after the above clearance, please make a non-refundable registration deposit of EUR 100 to finalize the registration [which will be returned to you when you show up at the departure point]

!!PLEASE NOTE THAT THIS PROGRAMME IS CAREFULLY DESIGNED TO BE VERY RUSTIC AND FRUGAL!!
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1. First Name *
2. Last Name *
3. City
4. Country *
5. Email address *
6. Mobile *
7. YOUR LEADERSHIP ROLE *
8. IN NOT LESS THAN FIFTY WORDS, please share your motivation for joining this programme *
9. Please share any reference sites or social media platforms that attest to your leadership *
10. ANY DIETARY RESTRICTIONS (or others) ? *
11. Other Comments
12. CANCELLATION TERMS *
We understand that unforeseen circumstances may sometimes stand in the way of your participation. In case you are unable to join the programme after registration, we offer you the possibility to arrange your replacement (who must vetted and cleared), or we will donate your deposit to the charity, www.saigramamaglobalvillage.org. Thank you for your understanding.
Required
13. Self-responsibility *
During the walk, I - the applicant - take complete responsibility for my well-being and hold the organizers and the facilitator free from any liabilities.
Required
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