The void in the darkness is an ocean of endless possibilities!

Darkness Retreat – Registration

First name:
Surname:
Birthdate:
Gender:  Male Female
Adress:
Phone:
E-mail:
How did you hear about this retreat?  Newsletter Friends/Family Search engine/Internet Facebook Other:
What kind of workshops/retreats have you done so far?
This retreat requires a normal physical condition. Are there any medical issues that are important for us to know?
Have you been in any kind of therapy?  Yes No
If so, what exactly? Have you taken any medication? If so, which and how much?
Do you have any questions or remarks?
Yes, I accept the terms of registration