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Raja Ampat with Immersion Community
March 28th - April 2th
Application form for Immersion Community
Full Name
Where are you from?
Phone Number (country code + number)
E-mail
How did you hear about the Immersion Community?
Why do you want to join the Immersion Community?
Do you know anyone from the Community? If yes, who?
Have you ever participated in an Immersion before? If yes, which one?
Do you want to apply for Early Bird ticket?
*
Yes.
No.
Are you interested in participating as a volunteer? If yes, how could you add up to the program or community? (Volunteer activities consist in 4-6 hours of daily work shifts.)
Do you wish to apply for low income ticket?
*
Yes.
No.
How much money do you have available for this trip? (Ticket + accommodation)
Immersion means a journey within one self. Are you willing to change your life?
Send
Application Completed
Application Form: Entre em contato
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