8 week Stress Reduction Course Kraków 4 October - 29 Nobember Name * Surname * Date of Birth * Phone * Email * Am I attending a therapy currently? * Yes No My health and well-being allow me to sit and lie motionless for about 30 minutes? Yes No If answered no in the above question, please describe what may be a problem. In the event of resignation from the course during its duration (being on 2 meetings), I undertake to cover 100% of the course value * Yes Being determined and willing I undertake to pay 100% of the course until 11/10/2018 * Yes No, I want to divide the payment I know about the course from * I agree to pay a non-returnable advance of 300 PLN * Yes By completing this application form I agree, within the meaning of the Act on the Protection of Personal Data dated August 29, 1997 (Journal of Laws of 2002 No. 101, item 926, as amended), for storing, processing and updating of personal data necessary for the proper implementation of the 8-week Stress Reduction Course. The above data will be processed only by Oddycham.pl and no one else will have access to them. Yes Wyślij
