Course Enrollment

First and last name (mandatory)

Street address (mandatory)

Postal code and town/city (mandatory)

Year of birth (mandatory)

Email address (mandatory)

Telephone number (mandatory)


Start date of course

I need accommodation (applies to intensive courses only)

I have participated in a Rosen course before

Which course did you last participate (course title and year)?

I have a special diet (Add details in the below text box)

Additional details

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