Fasting and Rambling


	Homepage
	Why Fasting and Rambling?
	Rambling Data
	Links
	Questions and Answers
	Contact

Application Form

I would like to enrol for the following:


	single room
	double room

I confirm herewith, that I am perfectly healthy, not using any medication at present and would like to participate in the abovementioned activity, taking full responsibility for any or all eventualities.
I undertake not to institute any claims against the association, respectively the guide(s) in respect of any eventual corporeal, proprietary and/or health damages which may occur.

Further:

First name:
Surname:
Address:
Zip:	City:
Country:
Phone:
Fax:
Email: