Enrollment

Enrollment Form

 

Please use this form to enroll for a course.

We contact you very swiftly to confirm your enrollment.

 For any question, do not hesitate to contact us, by email, or direct call (phone, whatsapp, skype)

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Thank you ! 

The forme has been sent.

We'll get in contact with you as soon as possible 

I would like to enroll for the following course(s) :​

Shiatsu Basis Course
Shiatsu Year Training
Chair Shiatsu
Cranio Sacral Training (Fr/Du)
Reiki Radiance
Reflexology (Fr)
Merkaba Meditation
Yoga
The Present Body
Sri Aurobindo Meditation
Retreat in the Pyrenees
Yoga en India

Veuillez choisir au moins 1 activité

This activity takes place in the month of : 

 

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Your given name​

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Your name
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Your email address
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Your phone number
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Your date of birth (optionnal)
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Personal details (required)

Other informations  (optionnal)​

Your place of birth (optionnal)
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Your qualification​

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Your profession
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Your energetic experiences​

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What is your motivation to enroll

 

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Medical and nutritive information (optionnal

 

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Remarks or questions :​

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I read and agree the enrollment conditions

 

Thank you to confirm my enrollment. Please send me the practical information and the information for the payement. 

 

 

 

 

Thanks to accept these two conditions

Pour vous inscrire via un smartphone, merci de nous envoyer un email via e bouton ci-dessous ou de consulter cette page via un ordinateur pour accéder au formulaire d'inscription.  

 

Merci

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