Sign Up - Balance-Recovery Self-Healing-Moment

Choose date of Balance-Recovery Moments of Truth you want to attend to*
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Name*
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Date Of Birth*
Address*
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Have you already taken part in similar trainings or workshops with our or other organisations? If so, please provide by which organisation.*
What do you want to take from these Balance-Recovery Moments of Truth? What expectations do you have?*
Are there certain aspects of life you are afraid of?*
Are there any medical and/or psychological problems? Are you under medications, diets, therapies etc?*
How did you learn about us?*
Read the registration Agreement (Opens in a new tab)
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Registration Agreement*
- I agree with the registration agreement.

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