Women Writing and Walking toward Wisdom
29 September, 2018
Registration

Participant Registration Form

Thank you for signing up for the full-day Women Writing and Walking toward Wisdom "WALKshop" in Utrecht, The Netherlands (exact location to be determined). Within a few days of completing and submitting this registration, you will receive an invoice. We will continue to be in touch with you leading up to the retreat in order to prepare you for this moving experience.

We look forward to meeting you and spending this special time together - Marijne van den Kieboom and Kate Lampel Link

*NOTE: The language will be in English; Dutch assistance will be available.

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* 1. Contact Information - If more than one person is in the registering party, each must complete this form.

Name *

Address *

Address 2

City/Town *

Postal Code *

Country *

Email Address *

Phone Number *

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* 2.
Select your rate and method of payment - an invoice will be sent. All payments are by bank transfer. Cancellation Policy: Payments made will be refunded in full (less a 35 euro processing fee) if you cancel by September 1, 2018. Cancellations after September 1, 2018 will only be refunded (less a 50 euro processing fee) if your place is otherwise filled. Emergencies may be considered on a case-by case-basis.

Payment by August 15, 2018 is 100 euros

Payment after August 15, 2018 is 125 euros (space permitting)

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* 3. While we will accommodate all walking and moving abilities, we need to know your walking experience so we can plan accordingly. We will walk on grass and on sidewalks - with potential for uneven ground. We will walk several times throughout the day for a total of 2.5-3.0 hours.

How often do you go for a walk?

How far do you typically walk?

What else would you like us to know about your mobility?

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* 4. We believe that everyone is a writer. For further planning purposes, we would like to know about your writing experience.

How often do you engage in personal writing?

Tell us about writing groups, courses, etc. that you have enjoyed.

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* 5. What most interests you about this WALKshop? What do you hope to learn or experience?

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* 6. What questions do you have or what else would you like us to know about you (please include special needs)?

By submitting this form you agree to the following:
1. I am in good physical condition and can walk 6 kilometers in a day (different paces accommodated). I do not suffer from any known disability or condition which would prevent my participation in this WALKshop.

2. I will arrive between 9:40-9:55am for a 10:00 start on Saturday, September 29, 2018 and will stay until the WALKshop ends at 5:00pm.

3. I will bring my own lunch. (Beverages and snacks will be provided.)

4. I come to the Women Writing and Walking toward Wisdom WALKshop with curiosity and openness. I am interested in learning more about myself and understand that this might not always be what's most comfortable. I come ready to see myself and my life from new - or renewed - perspective(s).