Life as path - Registration

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Please fill out the registration form below. All fields are mandatory.

Personal information
 
Name:
Gender:  Male  Female
Date of birth:
Address:
City:
Country:  
Telephone:
E-mail:
 
 
Check those which apply to you
 
I am a vegetarian/vegan
I need a chair to sit during the teachings

If you have any other physical limitation or medical condition that we should be aware of, please describe it below:
 
Event costs
 
From July 13 to October 13 = US$ 1.000 monthly*

Single day= US$ 33*

*special events are not included
 
Please provide the day and time of your arrival.  The reception will be open from 5 a.m. to 11 p.m.
Day Time
Please provide your day and time of departure:
Day Time
 
Comments / special requests:
 
 Payment
 

Upon arrival, payment can be made in cash or credit card (only Visa is accepted).
 
 
 

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