Holotropic Breathwork between Hamburg and Berlin - residential March 10-24 - 2027

10 Mar 2027 to 14 Mar 2027 Workshops

Wybierz swój język

Szczegóły rejestracji

Enter your details below.

Pełne imię i nazwisko

Telefon

E-mail

Confirm Email

Poprzedni uczestnik

1. Cardiovascular disease, including heart attacks and any cardiovascular surgery * Required

2. High blood pressure * Required

3. Diagnosed psychiatric condition * Required

4. Recent surgery * Required

5. Past or recent physical injuries, including fractures or dislocations * Required

6. Present or current infectious or communicable diseases * Required

7. Glaucoma or retinal detachment * Required

8. Epilepsy * Required

9. Osteoporosis * Required

10. Asthma (If yes, please bring your inhaler to the workshop) * Required

11. Are you currently pregnant? * Required

12. Have you been hospitalised in the past 20 years for medical issues? * Required

13. Have you ever been psychiatrically hospitalised? * Required

14. Are you currently in therapy or involved in any type of support group? * Required

15. Are you currently taking any type of medication? Please describe * Required

16. Is there anything else about your physical or emotional status we should be aware of? * Required

Emergency contact: * Required

Mobil number with countrycode * Required