REGISTRATION Paid Submission Form - LeMoMo Registration Please select a LeMomoPlease enter your billing addressPlease select your payment optionWhat seminar? - Select LeMoMo/Mentoring -LeMoMo |Yoga as body-based mindfulness training on 26.02.2024LeMomo | annual subscriptionLeMomo | Nervous system regulation on 29.04.2024The last Monday of every month from 19:30 - 21:00 The video recording is available for 6 months for all who have registered.Monday, 29.04.2024 from 19:30 - 21:00 The video recording is available for 6 months for all who have registered.Mandatory field I have attended at least one Yoga Therapy module.Participation online via Zoom I would like to participate onlineDeclaration of consent By participating in this live event and speaking with the camera on or off, I consent to my voice and/or image being recorded and included in the event video.LeMomo reminder email Yes, I would like to be reminded of the next dates for LeMoMo by e-mail.BackFurtherPlease enter your billing address here!first name * Surname date of birth Telephone/mobile number Street and house number postcode location country BelgiumGermany (German)France (France)ItalyCroatiaLiechtensteinLuxembourgSwitzerlandAustriaAfghanistanAlbaniaAlgeriaAmerican SamoaAmerican Virgin IslandsAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAzerbaijanAustraliaBahamasBahrainBangladeshBarbadosbelauBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilVirgin IslandsBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiChileChinaCook IslandsCosta RicaCuraÇaoDominicaDominican RepublicDjiboutiDenmarkEcuadorEl SalvadorIvory CoastEritreaEstoniaFalkland IslandsFijiFinlandFrench GuianaFrench PolynesiaFrench Southern and Antarctic TerritoriesFaroe IslandsGabonGambiaGeorgiaGhanaGibraltarGrenadaGreeceGreenlandGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHondurasHong KongIndiaIndonesiaIraqIranIrelandIcelandIsle of ManIsraelJamaicaJapanYemenJerseyJordanCayman IslandsCambodiaCameroonCanadaCape VerdeKazakhstanQatarKenyaKyrgyzstanKiribatiCocos IslandsColombiaComorosCongo (Brazzaville)Congo (Kinshasa)KosovoCubaKuwaitLaosLesothoLatviaLebanonLiberiaLibyaLithuaniaMacao, ChinaMadagascarMalawiMalaysiaMaldivesMaliMaltaMoroccoMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMacedoniaMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMozambiqueMyanmarNamibiaNauruNepalNew CaledoniaNew ZealandNicaraguaNetherlandsNigerNigeriaNiueNorth KoreaNorfolk IslandNorwayNorthern Mariana IslandsOmanPakistanPalestinian Autonomous TerritoriesPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoRwandaRomaniaRussiaRéunionSão Tomé and PríncipeSaint BarthélemySaint-Pierre and MiquelonSolomon IslandsZambiaSamoaSan MarinoSaudi ArabiaSwedenSenegalSerbiaSeychellesSierra LeoneZimbabweSingaporeSlovakiaSloveniaSomaliaSpainSri LankaSt HelenaSaint Kitts and NevisSt. LuciaSt. Martin (France)St. Martin (Netherlands)St. Vincent and the GrenadinesSudanSurinameSvalbard and Jan MayenSwazilandSyriaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouthern SudanTajikistanTaiwanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoChadCzechiaTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTurkeyUgandaUkraineHungaryUnited States (US) Minor Outlying IslandsUruguayUzbekistanVanuatuVatican CityVenezuelaUnited Arab EmiratesUnited States of America (USA)United KingdomVietnamWallis and FutunaChristmas IslandBelarusWestern SaharaCentral African RepublicCyprusEgyptEquatorial GuineaEthiopiaÅland Islandsenamel BackFurtherMethod of paymentPlease select your desired form of payment.Payment method: PayPal by transferCost: LeMoMo: 15,00 €Cost: LeMoMo: 90,00 €No payment method selected so farmodalities I have read the modalities and agree with them. revocation instruction I have taken note of the cancellation policy and accept it.privacy statement I understand and accept the privacy policymessage Back Book now Answers to frequently asked questions can be found here: FAQ Contact:info@momentum-regeneration.com
