Registration form "Rest in Motion"

Name and Pronouns *

Email Address *

Whats app *

Emergency number *Please provide the contact details of a person to call in case of emergency, including their name, WhatsApp number, and their relationship to you.

Street Address *

City

State/Province

ZIP / Postal Code

Country

Nationality *

Why would you like to join this program? *

At Paleohori, living and practicing conditions include limited electricity, outdoor showers, shared accommodation in tents, encountering bugs and animals, etc. Are you comfortable with these conditions? *YesNoOther

Other

Every participant is invited to take responsibility for their presence in the space by contributing to its daily care. This involves small, collective, and individual efforts to keep the shared camp space clean, well-maintained, and tidy. These are simple daily rituals rather than labor-intensive tasks and are expected from everyone staying in the camp, as it will be our ‘home’ for a while. Are you comfortable with dedicating up to one hour daily to help with this? *YesNoOther

Other

Do you have any health issues or medical conditions we should be aware of, or are you taking any prescribed medications? *

If you have any allergies, intolerances, or other crucial dietary information we need to know about, please note it here so that we can take it into account. *

How did you hear about this program? This helps us improve our communication channels. *A person who has been there told meI have been there beforeSocial mediaFacebook groupsRandomly found itOther

Other

Select cycles *1st cycle | August 11 – 18, 20252nd cycle | August 19 – 26, 20253rd cycle | August 27 – September 3, 20254th cycle | September 4 – 11, 2025

To book your spot, a deposit of 35% of the total cost is required.

Price is 227,5€ ( 650€ x 35% )

Price is 420€ ( 1200€ x 35% )

Price is 595€ ( 1700€ x 35% )

Price is 803,25€ ( 2295€ x 35% )

Credit / Debit Card *

Terms & Conditions *

I hereby accept the Terms & Conditions

Consent *

I hereby declare responsibly that all the above answers provided by me are true and accurate.

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