Registration form PdQ 4th Edition – Consapevoli Assieme

Your first name *

Your last name *

Your email address *

Phone number *

Which route do you choose to subscribe to?First Leg - from September 21 to 27 from Lama di Reno (BO) to Brasimone Lake (BO)Second Leg - from September 27 to October 4 - from Brasimone Lake (BO) to PistoiaFull Route - from September 21 to October 4 from Lama di Reno (BO) to Pistoia

We will sleep at communities and ecovillages sometimes in tents and other times in beds or similar. Do you have your own tent?YesNo

To optimize transport and tent setup/teardown times, are you willing to share your tent?YesNo

If you answered Yes to the previous question, please indicate the total number of spots in your tent

This event requires a mixed contribution: LIVING EXPENSES (accommodation + food + organizational expenses, to be paid in advance at 50% using the payment systems you will find in the confirmation email you will receive after submitting the form) plus HEART ECONOMY (to be paid in cash on-site, at the end of the event). To understand how it is sustainable and how you can contribute, read the Document on Heart Economy - Have you read the text in full found in the link and do you agree to contribute according to the Heart Economy?YesNo

Can you take advantage of one of the following discounts?No discountI have participated in at least one activity offered by Consapevoli Assieme.A friend invited meI have a discount code from a CommunityI have a discount code from a media partner

Write the first and last name of the person who invited you or the discount code received from the Community or Media Partner

Have you reviewed the route and do you think it is within your current health conditions?YesNoNo, but I'm preparing for it

Do you agree to sign the liability waiver found at this link and commit to signing it at the time of departure?YesNo

Do you agree to sign the release form for the publication of photos and videos found at this link and commit to signing it at the time of departure?YesNo

Anything else you want to communicate?

I declare my consent to receive the newsletter to receive updates on the Passi di Quiete journey and to be informed about future initiatives by Consapevoli Assieme and Vivi gli Ecovillaggi (you will receive an email to confirm your address even if you are already subscribed to our newsletter) *

Registration Form