HOLOTROPIC ITALY 9-12 December 2027

09 Dec 2027 to 12 Dec 2027 Workshops / 11:00 to 13:00 / 28 seats available

All Welcome!

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Szczegóły rejestracji

Uwaga: Wszystkie formularze muszą być wypełnione, aby zarejestrować się na to wydarzenie.

Powrót do listy wydarzeń

1. Workshop Registration ****
2. Medical Form
3. Hotel Registration

Registration Form

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Pełne imię i nazwisko

Telefon

E-mail

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Poprzedni uczestnik

Personal Data - (Dati personali)

Have you experienced Holotropic Breathwork in a GTT setting before? - Hai già provato la Respirazione Olotropica con il GTT? * Required

Address: Street Name and Number - Indirizzo: Via + N° Civico * Required

Postal Code - CODICE POSTALE * Required

Town - CITTÀ * Required

PROVINCIA

Country - NAZIONE * Required

place of birth - nato/a a

date of birth - data di nascita (day/month/year) * Required

GENDER (for rooms assignment)

Room Sharing Preference (Required) - Preferenza condivisione stanze (campo obbligatorio)

I prefer to share with women (Preferisco condividere la stanza con donne) I prefer to share with men (Preferisco condividere la stanza con uomini) I am comfortable sharing with any gender (Mixed room) - (Non ho preferenze di genere (Stanza mista)) I am registering with a specific person (you can specify their name in the next next room section). - Mi sto registrando insieme a una persona specifica (indica il suo nome nel campo che segue).

* Required

INVOICING & ADDRESS (DATI DI FATTURAZIONE)

Do you require a company invoice? (Richiedi fattura aziendale?) * Required

company NAME, address and vat number (DATI AZIENDALI con partita iva)

Holotropic Association Europe

HOLOTROPIC ITALY 9-12 December 2027

Szczegóły rejestracji

Registration Form

Personal Data - (Dati personali)

INVOICING & ADDRESS (DATI DI FATTURAZIONE)