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#TheSelfCompassionBreak Registration Form
Event Timing: 30 June - 2 July 2023
Stay Sunday night for free. (Optional)
Event Address: Temenos Retreat Centre,
Corner of Bree and Voortrekker Streets, McGregor,
near Robertson, Western Cape, South Africa
Tel: 023 625 1871 Email:
reception@temenosretreat.co.za
Contact us: Karen: +27828282028
karen@karennebe.com
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30 June - 2 July 2023 | #theselfcompassionbreak | Write Yourself A Love Letter at Temenos Retreat, McGregor
“Go ahead, write yourself a love letter every day forever, let it gush—gush out, gush free, gush all over every thing, everyone."
Name
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Your answer
Email
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Your answer
Mobile number
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Your answer
What attracted you to this retreat?
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Your answer
What expectations do you have of this retreat?
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Your answer
Have you experienced any Mindfulness or self-development processes? If so, please tell us more about the experiences.
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Your answer
What do you assess to be your responsibility as a participant when joining the retreat?
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Your answer
Charmaine will guide gentle Mindful Movement in the mornings from 07h30-08h30. Will you join her? Please remember that this is a commitment to her.
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Yes
No
Food ALLERGIES (The meals will be vegetarian and will include eggs).
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Your answer
Personal Investment:
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Single (R5 900)
Sharing (R5 600) per person with your friend, family member or partner)
Required
Sunday Evening Accommodation is Optional and Free. Will you take up this offer?
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Yes
No
Required
Package Includes:
Package includes: Accommodation for Friday and Saturday evening.
Breakfast, lunch and dinner (healthy vegetarian options).
Sunday night accommodation is optional and free.
Please note: No meals are
served on Sunday night or Monday morning. The cottages are self-catering.
All Art materials and Creative Guiding processes Plus one coaching session after the retreat.
Package does NOT include any restaurant beverages, bottled water, special coffees, soft drinks or juices.
NO ALCOHOL to be consumed during the retreat: 30 June - 2 July 2023
Payment details. Please submit proof of payment with this registration. Your cottage at Temenos will only be booked & confirmed on receipt of payment.
Please email proof of payment to:
karen@karennebe.com
FNB cheque account
branch code: 250655
account name: K C Nebe
account number: 62483668235
Terms & Conditions:
Completing and submitting this form is a sign of a firm commitment to this retreat including payment. Payment is Due in Full on submission of this form. The Retreat will run with a minimum of 4 participants. If, due to unforeseen circumstances the retreat is cancelled, you will receive a full refund. If the retreat is rescheduled, you will have the choice of a refund or to attend on the new dates. A cancellation request by you before 15 June 2023 will be refunded at 50% of the total cost. A cancellation request by you cannot be refunded after 15 June 2023. You may transfer your registration to another person. Please contact Karen at +27828282028 for any transfer requests. By submitting this form, you hereby indemnify Karen Nebe against any and all damage, illness and/or loss of whatsoever kind, caused by Karen Nebe's involvement (whether direct or indirect) in terms hereof and render Karen Nebe harmless against any claims (regardless of whether they arise).
A copy of your responses will be emailed to the address you provided.
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