Your Name*

Your Email*

Your Telephone*

Your Mobile phone*

How would you rate your knowledge/experience with Sound?

Are you a therapist or health practitioner in alternative or allopathic medicine? (please explain)

Have you experienced altered states of consciousness while listening to music or drums?

Have you suffered from a serious medical condition or chronic illness? (please explain)*

Are you taking medication? For what purpose? *

I agree to pay the first payment of 200€ as a deposit and commitment to attend the Intensive (once you submit the form you will be redirected to the Payment Page)*

The remaining 595€ I undertake to pay upon registration at the Dome *