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Registration form - Beyond [10 - 14 November 2022]
Hello!
By submitting this form, you register for the 11th edition of Beyond retreat. We will send you an email with information on how to confirm your participation and reserve your place.
INFO:
https://oldevechte.com/open-trainings/beyond/
DATES: 10 - 14 November 2022
PLACE TO BE: Zeesserweg 12, 7731 BG Ommen, the Netherlands
GOOGLE MAPS:
http://bit.ly/map_Olde_Vechte
E-MAIL:
info.oldevechte@gmail.com
Greetings from Olde Vechte Team!
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* Indicates required question
First Name
*
Your answer
Last name
*
Your answer
Name that you want to be called in the training
*
Please note that this will be the name appearing on your name tag.
Your answer
Country
*
Your answer
Date of birth
*
MM
/
DD
/
YYYY
Gender
*
Your answer
Phone number
*
Your answer
Email
*
Please provide a valid e-mail address as it will be used for further communication with you.
Your answer
Do you hold European Digital COVID certificate of vaccination/recovery?
Yes
No
I will have one for the training.
Clear selection
Do you need a visa in order to travel to the Netherlands?
*
Yes
No
Contact person in case of emergency
*
Full name, address, phone number, relationship to you.
Your answer
Diet or allergies
*
Your answer
Level of English
*
Basic
Medium
Good
Fluent
Occupation status
*
You can select more than one option.
Employed
Unemployed
Student
Other:
In which Event Wise (Basic Synergy) Training did you participate and when?
*
In case you participated or assisted in more trainings within the Synergy Group, please specify.
Your answer
In which Choice Training did you participate and when?
*
In case you participated or assisted in more trainings within the Synergy Group, please specify.
Your answer
I am doing the Beyond (formerly known as Choice in Life) training for the following reasons:
*
Your answer
I declare that I will have a medical insurance valid in the Netherlands for the duration of the training.
*
Yes, I declare.
Required
Other remarks or questions
Your answer
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