Chakra Harmony
Thanks for your interest for the course of Chakra Harmony.

I kindly ask you to answer to the following questions in order to officially register yourself for the seven sessions with the following dates:

Thursday 29 April
6 - 13 - 20 - 27 May
3 - 10  June
Time: 18.30 -20.00 / 6.30 - 8.00 pm CET

I would like to give you the choice of how much you would like to contribute to attend this course, depending on where you live, your financial situation and your grade of commitment. Therefore you can choose between Eur 85 and 165. The payment methods will be sent by separate e-mail.

For further information do not hesitate to contact me.

Warm regards,
Roberta Colombano

info@bodymindwork.org
0031638225160


Sign in to Google to save your progress. Learn more
Email *
Privacy is very important for me. Therefore I will never give or sell your contact details to any other individual or company and we will act in compliance with Regulation (EU) 2016/679 on the protection of natural persons with regard to the processing of personal data and rules relating to the free movement of such data. In order to design and conduct the workshop, the following data categories, provided by you during registration, are processed: name and surname, e-mail, Country, information about previous experience. Your email IDs will only be used for communication about this workshop (i.e. Zoom link) and their follow-up. We will save your information securely on our computer. Data will be stored up to 1 week after the end of the workshop you are registering to, and then deleted or made anonymous.   *
Required
Name and Surname *
Nationality and in which country you live *
Please describe which experience/trainings about chakras, dance, meditation, art, theatre and sport you have *
What would you like to learn in this workshop? Do you have any expectations? *
This meeting is a safe space, and confidentiality is critical. If you register for this workshop, you agree to keep everything shared in this Zoom Room confidential. *
Would you like to subscribe to my newsletter? *
Would you like to share some more information? Do you have any questions?
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This form was created inside of BodyMindWork. Report Abuse
Google Forms