Art of Living Part 1 Art of Breathing Courses in 2011

EVERY WEEKEND from Friday 3 pm till Sunday 5 pm in Bad Antogast

Surname: Adresse: Phone no.: E-Mail: Name: female male Age:

I sign up for the course in Bad Antogast (dates for 2011):

March 04.-06. 11.-13. 18.-20. 25.-27. July 03.-07. in Berlin, more info at
www.worldculturefestival.org

April 01.-03. 08.-10 15.-17. 22.-24. 29. April 01. Mai August 05.- 07. 12.-14. 19.-21. 26.-28.

May 06.-08. 13.-15. 20.-22. 27.-29. September 02.- 04. 09.- 11. 16.- 18. 23.- 25.

June 03.- 05. 10.-12. 17.-19. 24.-26. October 01.- 03. 07.- 09. 14.- 16. 21.- 23. 28.- 30.

15.-17. 22.-24. 29.-31.

Course prices food, accommodation and the course fee included

Single room (with a bathroom): Double room (with a bathroom): Group room (with a bathroom): Group room (bathroom on the corridor): 340 - 250 Group room (bathroom on the corridor): Reduced price for students, retired and unemployed Repeaters pay only the cost of accommodation and food My present state of health (respiration circulation heart pregnancy etc.) : O fair O as described below O I am pregnant (.....th month) 390 - 375 - 360 -

O excellent

I take or need to take the following medication, (psychotropic) pharmacy, drugs: Please describe your health problems below, particularly psychological/ mental ones: _______________________ Signature

______________ Place, Date

Please send this application form filled in completely to: Akademie Bad Antogast - Kursbro, Bad Antogast 1, D-77728 Oppenau Tel: + 49 7804 973 90 / Fax: + 49 7804 910 924, Email: Info@artofliving.de