Application form Dance to heal the Earth
Dance to Heal the Earth - at Blisveld Drempt, the Netherlands
We only use your registration information for the application of the Dance, we will delete all after the Dance
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Email *
First name *
Last name *
Telephone number *
My calling for the Dance *
If you have a question about the dance you can write it down below.
Minimum donation 
- Dancers  €300,- 
- All other attendees €200,-
- Dancer & Earthkeeper sign in together € 450,- 

If you feel the call to donate more, please feel welcome to do so!
It is important to put the energy into motion. Your registration is final after receiving your contribution.                                                              
Payments can be made at: Stichting Dance to Heal the Earth                                                                           IBAN NL28TRIO0391183559 BIC: TRIONL2U                                                                                                                 Indicating: Your name & Dance 2023   
Please write any question or remarks you have about the finances below.
The Waiver
Before joining the dance we need you to fill in a waiver. If you have any medications you need to take; any issues with fasting (you will be drinking water); any concerns or questions, we need to be aware of them. We will send the waiver after receiving this registration form. Please fill out the waiver, and we will talk directly to assure you have the protection and awareness you will need to fulfil your commitment and focus solely on your Dance.
If your have any last comments, please write them here.
Thank you for joining us in this beautiful dance.
Please, when you sign up be patient, give the coordination team time to respond.
We all volunteer our free time in support of organising the dance. Our team will respond as soon as they are available.

Once you have committed to this fasting dance (only dancers will fast), we will send you protocols and the waiver. Please return the waiver as soon as possible. Your registration can only be processed if we have this document. It contributes to your, and our shared, safe space.

Thank you and we look forward to meeting you at the dance.

Coordination Team

A copy of your responses will be emailed to the address you provided.
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