* Your information provided below will be strictly confidential.

Application to join our journey

Thank you for wishing to journey with us and we look forward to reading your completed application form. 

We kindly ask you to read our agreements and fill in this application form. If for whatever reason we feel it is better that you do not attend we will have a conversation with you and refund your ticket (this does not include the service cost charged by the ticket platform).

Agreements:

Confidentiality, Respect and care for yourself and others. No harm. No gossip. Integrity and Responsibility of your own experiences. Being able to ask for support and help if needed.

Feel free to contact us if you have any questions via Sandi (sandi@medicinewithin.nl) or whatsapp Leila (+31 613596848).