Registration for Self-Made Dumasienne at Chateau Dumas

Saturday 30 July - 6 August 2022

Name

First Name

Last Name

Full address

Your personal mobile/cell

In case we need to contact you during the Retreat

Passport no

Required by French authorities

Emergency contact name and telephone number

Dietary requirements

Vegetarian (no meat or fish)

Pescatarian (no meat)

Vegan (no meat, fish or dairy)

Gluten-free

Lactose-free

None

Please use this space to tell us anything else you think we should know about your diet

Medical conditions

Please use this space to let us know about any medical conditions or physical challenges you think we should know about

You must be fully vaccinated against Covid-19 to join this retreat. Please confirm that all your vaccinations will be up to date by the start of the retreat.

Yes

Creative Pursuits

Please use this space to let us know which creative pursuits you plan to focus on during the week

Thank you very much for completing the form.

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