Registration form "Root your Resilience - Mindfulness in Nature’s Embrace" in Hirschluch 30 November - 08 December 2025

Here you can register for the project "Root your Resilience - Mindfulness in Nature’s Embrace"

Mit * markierte Felder müssen ausgefüllt werden.

First Name*

Last Name*

Gender*

Date of birth*

Nationality*

City of departure (where your travel starts)*

Address*

Email*

Phone Number*

Vorwahl

Rufnummer

What comes to your mind when you hear `resilience´?*

Where do you have your roots?*

What stresses you most? What challenges you at present?*

Emergency Contact Number*

Name of Your Sending Organization*

Country of Your Sending Organization*

OIDNumer of your sending organisation*

Our kitchen focuses on vegetable based Food and serves meat twice a week - do we have a commitment to sustainability?

Specific Needs or Conditions We Need to Be Aware Of (e.g., dietary preferences (vegetarian, vegan, no pork, lactose-free, halal, etc.), mobility issues, medical conditions, medications taken, etc.)

Confirmation*

I confirm

I confirm that I will be able to participate in this project for its entire duration, with at least 95% attendance. I will strive to take an active role and be fully involved in all activities before, during, and after the project.

Consent*

I give my consent

I give my consent for my pictures and any materials created by me within the scope of this project to be used for the purpose of ensuring the project's visibility and disseminating its results.

Sicherheitsabfrage

 _    _      ___       _____     ___    
| || | ||   / _ \\    / ___//   / _ \\  
| || | ||  | / \ ||   \___ \\  / //\ \\ 
| \\_/ ||  | \_/ ||   /    // |  ___  ||
 \____//    \___//   /____//  |_||  |_||
  `---`     `---`   `-----`   `-`   `-`

Captcha eingeben*

Rechtliches:

Mit dem Absenden der Daten erkläre ich mich einverstanden, dass die von mir eingegebenen Daten zur weiteren Verarbeitung elektronisch gespeichert werden.

zurück