Simply Movement

Self- responsibility Declaration

and

Booking form

   

I would like to book a place for the following workshop:

‘Simply movement’

​

taster workshop Feldenkrais- Berlin

 

  

I am enclosing a deposit of 20 Euro

I confirm with my signature that I have read and understood the information provided regarding ‘simply movement’ classes (terms & condition). I am aware that the workshop is not a substitute for medical or therapeutic treatment. I take full responsibility for any changes which may occur during or after the work.

 

Printed Name:                           _____________________________

Telephone/mobile Number:   _____________________________

 

Signature:_______________________________     Date:______________

 

If there is anything the workshop leader needs to be made aware of please briefly explain here:

 

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Please send this form back to:  Marion Rosenberger, Mansteinstr. 6, 10783 Berlin, Germany

Many thanks. Marion

For any further question contact me on: 0049 17641901580