Holotropic Breathwork Stavanger April 19-20th 2024 - Registration and Medical Form
Event Dates:  Friday 19th - Saturday 20th of April 2024
Event Address: Kongsgata 44, 4005 Stavanger.

This is a 1,5 day Holotropic Breathwork workshop in the centre of Stavanger. Friday 19th, 18:00 - 21:00 - Saturday 20th, 9.30am - 9pm. 

The price for this workshop is:
Earlybird rate: When paid in full before 15th March - 2600kr.
Full price: After March 15th - 3000kr - must be paid in full April 12th.
Students/ unemployed: 2200kr - must be paid in full by April 12th.

A 700kr non-refundable deposit is required upon registration to secure your place - full amount must be paid by above dates to secure your rate.

Cancellation policy:
The 700kr deposit is non-refundable, unless the event is cancelled by us or we find reason through your medical statement that participation is unfit for you. The payment of the remaining amount is eligible for a full refund if you give notice 14 days or more before the workshop.

You will be contacted with payment information once you submit your application.

If you wish to register to the event please fill in your personal details below. Due to the nature of the practice of Holotropic Breathwork, it is also required to complete the following medical form. The medical form will be used to screen for potential contraindications or conditions to be aware of and to take into consideration during the breathwork, for the safety of the practitioners and facilitators.

Please note that you will be required to attend the full hours of the workshop, both days, if you sign up for the breathwork.

After you register a member of our team will be in touch to answer any questions you might have and to go through your medical form. If you have questions regarding the registration process, are wondering if this workshop is a good fit for you, or have questions about the payment, feel free to reach out to the phone number or email below.

Contact phone: 98186515 email: hbskandinavia@gmail.com
Sign in to Google to save your progress. Learn more
Email *
Full Name *
Address *
Phone number *
D.O.B  *
I identify my gender as *
Marital Status *
Do you have a past history of, have been diagnosed with, or are currently experiencing, any of the following? If yes, please tick relevant box. *
Required
If you have answered yes to any of the above questions, please specify.
Have you ever been hospitalised? If yes, please tick relevant box. *
Required
If you have answered yes to any of the above questions, please leave a comment with any information that might be relevant, specifying your condition, diagnosis, time of injury etc.
Are you currently in therapy or involved in any type of support group? *
If you have answered yes to the above question, please specify.
Are you currently taking any type of medication? *
If you have answered yes to the above question, please specify.
Is there anything else about your physical or emotional status we should be aware of? Please leave comment below.
Have you experienced Holotropic Breathwork before? *
If yes, where did you experience Holotropic Breathwork?
Please tell us how you heard about the workshop: *
Please tell us a bit about yourself and why you would like to attend our Holotropic Breathwork workshop: *
Emergency Contact information. Please state name and relation, and leave a phone number and email address where they can be reached. *
PLEASE READ AND CONFIRM THE FOLLOWING STATEMENT:       
                                                                     
I hereby confirm that I have read and understood the above information, and have answered all questions completely and honestly, and have not withheld any information. My general health, as far as I am aware, is good. I agree to commit to the workshop in full and will be able to participate from start til end. 

The price for this workshop is:
Earlybird rate: When paid in full before November 3rd - 2500kr.
Full price: After November 3rd - 2900kr - must be paid in full November 17th.
Students/ unemployed: 2000kr - must be paid in full by November 17th.

A 700kr non-refundable deposit is required upon registration to secure your place - full amount must be paid by above dates to secure your rate.

Cancellation policy:
The 700kr deposit is non-refundable, unless the event is cancelled by us or we find reason through your medical statement that participation is unfit for you. The payment of the remaining amount is eligible for a full refund if you give notice 14 days or more before the workshop.

You will be contacted with payment information once you submit your application.

After you register a member of our team will be in touch to answer any questions you might have and to go through your medical form. If you have questions regarding the registration process, are wondering if this workshop is a good fit for you, or have questions about the payment, feel free to reach out to the phone number or email below. Contact phone: 98186515 email: hbskandinavia@gmail.com
 *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms