Wake Up Oud & Nieuw retraite 2018 - 2019
[English below]

Ha lieve Wake Upper,

Met dit formulier kun je je inschrijven voor de Wake Up Oud & Nieuw retraite. Deze zal plaatsvinden op 31december en 01 januari in het Cordium in Nijmegen. Je inschrijving is definitief wanneer het bedrag van 28 euro is overgemaakt naar NL63INGB0008158429 t.n.v SF Vreugdenhil,  o.v.v. 'Wake up' en je voor- en achternaam.

Wat ontzettend fijn dat je je inschrijft, we kijken uit naar je komst!

Hele warme groetjes,
Hein, Sietske, Marieke en Charlotte


[English]
Dear dear Wake Upper,
 
With this form you can register for the New Year's retreat. This event will take place at Cordium Nijmegen, the Netherlands on 31th december and 1st january. Your registration will be complete when you have transferred the amount of 28 euros to NL63INGB0008158429 by SF Vreugdenhil,  please label it with 'Wake up' and your full name.

How great that you're coming, we're looking forward to see you!

With love,
Hein, Sietske, Marieke en Charlotte


Sign in to Google to save your progress. Learn more
Email *
Clear selection
First Name *
Last Name *
Sex *
Age *
Phone number *
City of residence
First language *
Do you prefer to be in a Dutch speaking family or an English speaking family? Or comfortable with both? *
Will you sleep at Cordium during the retreat? *
There is a limited amount of mattresses available. Are you okay with sleeping on your own mat/air bed if there is no mattress available anymore? *
To what extent do you have experience with going to a Wake Up sangha? *
If you go to a Wake Up sangha, in which city is it?
Are you aware that you need to bring your own lunch package and a (vegan/vegetarian) dish to share with the potluck dinner on the first day? Only breakfast in the morning of January 1st is provided. *
Would you like to offer or facilitate something? If so.. what? *
Name of a relative or friend we can contact in case of an emergency (and how this person is related to you, e.g. 'father', 'girlfriend', 'friend', 'aunt'...): *
Phone number of this person:
Do you have any other questions or information that we need to know of? =)
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms