Personal information:

    Gender*: malefemale

    What type of room would you like to stay in?

    Incase of emergency:

    Agreement to Terms and Conditions:

    Do you confirm that you have read, understood and agree to be bound by all the applicable Terms and Conditions, which serve as a binding contract between you and Marije Paternotte and that you are eligible to participate in the retreat under the conditions set forth in those terms? If you do not agree to be bound by the Terms and Conditions, your application for the retreat cannot be accepted.

    I confirm