APPLICATION FORM FOR SLOVENIA – September 2023

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, 29th September – Individual therapy (Kranjska c. 11, Radovljica)
Saturday, 30th September – The healing circle of light (Kranjska c. 11, Radovljica)
Sunday, 1st October – Individual therapy (Kranjska c. 11, Radovljica)
Monday, 2nd October – Individual therapy (Kranjska c. 11, Radovljica)

HAVE YOU EVER HAD THERAPY?

YES
NO

SPACE FOR YOUR REMARKS OR COMMENTS (OPTIONAL):

Send