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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I would like to enroll for the following course(s) :
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This activity takes place in the month of :
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Your given name
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Your email address
Your phone number
Your date of birth (optionnal)
Personal details (required)
Other informations (optionnal)
Your place of birth (optionnal)
Your energetic experiences
What is your motivation to enroll
Medical and nutritive information (optionnal
Remarks or questions :
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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