Registration

Stories That Heal Workshop

6th December · Haarlem · 10:00 – 16:30 · €95 including simple lunch

Hello and thank you for registering. Please fill in the details below so we can do our best to support you during the workshop.

This workshop involves sharing in a small group. Your contact details may be kept, but no other personal information will be maintained on file. Your details will not be shared with any other person or organisation.

Please note: I don't accept registration forms two days before the workshop starts.

Payment

The investment is €95 including a simple lunch.

We will confirm your reservation after payment. You will receive an invoice via email, payable by bank transfer.

Cancellation policy

Please contact us via contact as soon as possible if you need to cancel. Refund terms will be confirmed on your invoice.

Disclaimer

When you submit this registration you agree to accept full responsibility for your choices and experiences and release Amaranatho from all liability for such. Amaranatho is not a licensed psychologist or mental health provider and his services are considered complementary to normal medical and psychiatric care. Please discuss medical or psychiatric concerns with your physician or mental health provider. You are attending this workshop with the above understanding.

First name *

Last name *

Email *

Reconfirm email *

Street address *

Town/City *

Postcode *

Country *

Mobile number with country code *

Emergency contact phone number

Anything we should know to support you during the workshop?

Physical health (optional)

Mental health (optional)

Medication (optional)

Have you practised meditation before? (optional)

Relevant factors (bereavement, family difficulties, PTSD, etc.) (optional)

Allergies (optional)

Any special requirements you'd like us to know about (optional)

Would you like your business to pay for this? --- Select --- Yes

Name of business

I confirm that I am over 18 * --- Select --- Yes

I have read the cancellation policy * --- Select --- Yes

I agree to the disclaimer * --- Select --- Yes

Signature *

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