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Registration

 

 

 

 

 

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Information

 

 

 

Name              

 

Email                  

 

Mobile                

 

Home/office     

 

Address             

 

 

Payment options

 

Price for the program:    €195 ($US 195) (SFR 280.-)

 

 

Pay by credit card:           

 

 

Or make your payment to:

 

Name: Francisco Bujan

Account number: 228-568470.40D

Bank name: Union de Banque Suisse (UBS) 

Bank address:  La Combe - 1260 Nyon- Switzerland

 

I made the payment of €195 ($US 195) (SFR 280.-)

 

Payment Date           credit card        bank draft

 

 

 

 

Travel Arrangements

 

 

If you know them already, what are your travel arrangements?

 

I will be traveling to Switzerland by:        

 

Plane   

Arr. date / time                 Flight no   

Dep. date / time                Flight no       

 

Car

 

Train

 

Not yet arranged / do not know yet.

 

 

 

Your preferences for the event

 

Your answers are only indicative and used to select the major directions for the group coaching sessions. You are free to redefine your answers anytime

 

What I need the most right now:

 

 

Energy        Vitality

 

Emotional fuel    Motivation

 

Sharing    Nurturing    Expressing

 

Understanding    Finding answers    Fresh perspectives    Clarity

 

Develop new strategies    Vision/Plan    Making choices   

 

Taking decisions    Finding Solutions    New ideas

 

Taking Action    Training

 

All of that    None of that

 

 

 

Other   

 

 

 

In what areas of your life would you like to focus your energy during the event?

Select 3 areas:

Career / Professional / Business

Fitness / Diet / Vitality

Emotional / Happiness

Money / Finances

Effectiveness / Dynamism / Life skills

Friends / Social life

Personal evolution / Life vision

Relationship / Love life

My environment / Home / Location

Spiritual development

Foundation / Personal Power

Fun / Travel / Free time

 

Other                             

Priority number one   

Priority number two   

Priority number three

 

What do you need, expect or want from this event?

 

 

Tell me more about yourself, your present challenges, desires for the future. Be as specific as you can.

 

 

 

What is your experience with the outdoor?

I am very experienced

Some experience

No experience at all

 

How do you feel about walking for 3 hours a day in a mountain environment?

 

No problem

A bit challenging but I can do it

I don't think I can do it

 

Do you have questions concerning gear, preparation, the mountain environment or the outdoor?

 

 

Other questions?

Anything you want to add?

 

 

 

 

 

 

I am looking forward to meet you at this exciting and unique occasion!

 



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