Waitlist Dieta Retreat Peru June-July 2027
Laat je gegevens achter en ontvang als eerste updates over data, programma en investering. / Leave your details and be the first to receive updates on dates, program, and investment.
Naam / Name
*
Voornaam / Name
Achternaam / Family name
Geboortedatum / Date of birth
*
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Maand
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Dag
Jaar
2 digit month, 2 digit day, 4 digit year
Datum
E-mailadres / Email address
*
voorbeeld@voorbeeld.com / example@example.com
Telefoonnummer / Phone number
*
Woonplaats / City
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Land / Country
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Heb je eerdere ervaring met plant medicine of andere vormen van ceremonieel werk? / Do you have prior experience with plant medicine or other forms of ceremonial work?
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Nee, nog niet / No, I don't
Ja, enkele ervaringen / Yes, some experience
Ja, ik heb ruime ervaring / Yes, experienced
Ja, ik begeleid zelf mensen binnen dit werk / Yes, I am a guide and facilitator myself
Hoe sterk voel je de calling om een dieta te doen? / How strong is your calling to a dieta?
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I feel a clear calling, depending on dates and investment
I feel a strong calling and would like to explore whether participation is possible
I am seriously interested and would like to receive more information first
I am mainly curious and would like to stay informed
Kun je iets delen over je motivatie/reden om een dieta te doen? Bijvoorbeeld: helen of studie. / Please share with us why you would you want to go in dieta? For instance: healing or learning.
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🇬🇧 Yes, I would like to receive information by email about the dieta retreat in Peru. I understand that being on the waitlist is not a reservation or final registration.
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🇬🇧 I agree that Alamyn may use my details to keep me informed about this retreat. I can unsubscribe at any time.
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I FEEL CALLED
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