Sharing Sacred Touch - Registration
This form is to register for "Sharing Sacred Touch - massage and sensual relating skills for couples" on 6 & 7 May 2023 in Rolle. 

The times are: 
>> Saturday 6 May 14h00 - 18h30 
>> Sunday 7 May  10h00 - 17h00 

The venue is Elaneha, 10 Avenue de la Gare, 1180 Rolle - 5 minutes walk for the train station and with onsite parking.

Price per couple: CHF 500

Payment is required to confirm your place as there is limited space. Please send your payment to: 
IBAN: CH87 8080 8004 1945 5013 8
Account: Georgina Peard, Chemin de Jolimont 2A, 1180 Rolle, Switzerland.
Bank: Banque Raiffeisen de Gimel, 1188 Gimel, Switzerland
Compte: 10-1472-0
BIC/Swift: RAIFCH22

I will be in touch to confirm all the details once I've received your registration and payment. Thank you. 

Georgina 
georgina.peard@gmail.com / +41 79 219 4407

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Email *
Full Name / Nom complet *
Telephone *
Name and email of your partner / Nom et adresse email de ton partenaire?  *
Main motivation - What would you like to learn or experience on this course ? / Motivation principale - Qu'aimeriez-vous apprendre ou découvrir lors de ce stage ? *
Preferred Language / Langue préférée *
Required
Questions for Georgina or anything I should know about your physical or emotional needs to best support you during this training? / Des questions pour Georgina ou tout ce que je devrais savoir sur vos besoins physiques ou émotionnels pour vous accompagner au mieux pendant ce weekend ?
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