APPLICATION FORM FOR SLOVENIA – October 2025

Please, select the therapy:

YOUR NAME ( required field)

EXACT ADDRESS ( required field)

CODE NUMBER, CITY ( required field)

PHONE ( required field)

E-MAIL ( required field)

PLEASE, SELECT AND ENTER THE DATE OF THERAPY:

Friday, 3rd October – Individual therapy (Kranjska c. 11, Radovljica)
Saturday, 4th October – The healing circle of light (Kranjska c. 11, Radovljica)
Sunday, 5th October – Individual therapy (Kranjska c. 11, Radovljica)
Monday, 6th October – Individual therapy (Kranjska c. 11, Radovljica)

HAVE YOU EVER HAD THERAPY?

YES
NO

SPACE FOR YOUR REMARKS OR COMMENTS (OPTIONAL):

Send