Registration form

Please register me for the following seminar:

 
* denotes required information
(*) denotes optional information  (either/ or).

Seminar: *
  Date: *
Cost (in €): *
First name/Surname: *
Street: *
City: *
State/Province/Region : *
Telephone: (*)
Fax:
Email:(*)
For events of more than one day in the Eifel:
Please transfer money for board and lodging to Haus Regenbogen’s account and facilitator’s fees to my account.
For one-day seminars e.g. in Cologne:

Please transfer facilitator’s fees to my account.

If you have any questions regarding payment please to do not hesitate to ask.

I have transferred to: (please tick) *

Jutta Qu'ja Hartmann's account
Haus Regenbogen's account


I need/am able to offer  someone a lift to the seminar:

need a lift
can offer a lift
both
I do not require nor can I offer a lift.

I would be interested in a programme about:

The Rainbow Apprenticeship
Events in  Haus Regenbogen
Jutta Qu'jas courses
Yoga Events

Comments:


After you register I will send a confirmation of participation. This confirmation will validate your  registration.

 

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