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

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