#TheSelfCompassionBreak Registration Form
Event Timing: 27-29 May 2022

Event Address: R326, Stanford, 7210
Western Cape, South Africa
Tel: +27 72 198 0862     Email: info@stanfordvalley.co.za

Contact us: Karen: +27828282028 karen@karennebe.com
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#TheSelfCompassionBreak at Stanford Valley Guest Farm
Creativity that connects: to self, to others, to the world, to a greater sense of meaning and purpose.
Name *
Email *
Mobile number *
What attracted you to this retreat? *
What expectations do you have of this retreat? *
Have you experienced any self-development processes? If so, please tell us more. *
The retreat activities will end by Sunday at 14h00 with lunch together. Will you stay Sunday evening? (at an extra R500 per person) *
Required
Food Allergies (The meals will be vegetarian) *
Accommodation *
Required
Package Includes:
Package includes: Accommodation for Friday and Saturday night.
Optional: Add Sunday night accommodation at R500 per person.
Breakfast, lunch and dinner (healthy vegetarian options).
Please note: No dinner is served on Sunday evening and no breakfast is served on Monday should you choose to stay Sunday evening.
All Art materials and Creative Guiding processes and Guided Meditations.
Package does NOT include any restaurant beverages, bottled water, special coffees, soft drinks or juices.
NO ALCOHOL to be consumed during the retreat: 27-29 May 2022
Payment details (your ensuite at Stanford Valley Guest Farm 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 6 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 5 May 2022 will be refunded at 50% of the total cost. A cancellation request by you cannot be refunded after 5 May 2022. 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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