Triek jou Triggers Augustus 2025 Registrasie Vorm - 5th Avenue Gooseberry Guesthouse

Triek jou Triggers Lente Naweek: 15-17 Augustus 2025

Welkom! Gooseberry Retreat wil graag vir jou ‘n wonderlike ervaring skep by die Lente Naweek Retreat van “Triek jou Triggers.” Voltooi asseblief jou profiel hier onder soos volg:

Triek jou Triggers Registrasie: 15-17 Augustus 2025

Naam

Van

E-Pos

Selfoon nommer

Address

Adres Lyn 1

Adres Lyn 2

Stad

Kode

Provinsie

Allergieë of dieet vereistes (Neem asb in ag dat daar 'n moontlike ekstra koste sal wees aan spyseniering afhangende van die tipe allergie of dieet vereiste).

Naasbestaande (naam en van)

Verwantskap

Naasbestaande selfoon nommer

Indemnity:

I hereby irrevocably indemnify and hold harmless: 5th AVENUE GOOSEBERRY GUEST HOUSE, its owners, agents and employees against all and any actions, suits, proceedings, claims, demands, costs and expenses of whatsoever nature incurred from, any direct, indirect or consequential loss or damages I may suffer, and which may be taken or made against them or be incurred or become payable by them, arising out of my stay at the guest house.

I hereby certify and represent that I am over 18 years of age and have read the foregoing and fully understand the meaning and the effect thereof.

Boodskap