Registration for Befriending Your Nervous System
This is the sign up form for you to participate in my four-session immersive online course "Befriending Your Nervous System".

At the moment you can vote for your preferred day of the week for the live sessions. I will in a few days determine the final schedule. Afterwards you will be sent an email with the invitation to pay your course contribution and thereby reserve your spot.

 If you want info on the course, please go to its website. If you have any questions at all, please email me at sina.birkholz@gmail.com

Thank you! I am looking forward to exploring our nervous systems together!
Sina

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Your name *
Your email-address *
What is your motivation for joining this course? *
Is there any experience with or observation on your nervous system that you would like to share with me? *
Is there any fear or concern you have about participating?
Do you agree to keep what other participants share in the group sessions confidential? *
Required
Do you agree to not share recordings of the sessions with anyone else who is not a course participant? *
Required
Are you applying for one of the two reduced fee spots in the course? If yes, please share with me any information regarding your current circumstances that you would like me to consider for determining who receives the spots.
Is there anything else you would like to share?
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