Registration 2019 english

please fill in mandatory fields marked with a *.

I hereby sign up for the marked seminar:

EGO-State and body work part 3
November 13. – 14. 2019 for 320.- €
presenter: Dr. Woltemade Hartman

SOMA Modul 2
November 28.– December 01. 2019 for 690.- €
presenter: Marcelo Muniz

EGO-State-Therapie group supervision
December 13. 2019 for 95.- €
presenter: Dipl. Psych. Claudia Mueller-Quade


first name*



date of birth




street, number*

post code*


continuing education points*

confirmation and payment

Your registration will be confirmed by us by e-mail which then constitutes your firm booking. Payment is by bank transfer only and will become due upon receipt of the invoice together with the booking confirmation.

terms and conditions

Registrations (i. e. bookings of seminars) can only be accepted in writing, by email or by this registration form.
An administration fee of € 30 will apply for booking cancellations that must be made in writing. The entire fee will be due for cancellations from four weeks prior to the beginning of the seminar.
As participant I acknowledge that the organizer cannot be held responsible for the cancellation of seminars due to unforseeable circumstances of commercial or political nature, in case presenters cancel the seminar, or due to force majeure. The organizer reserves the right to cancel a seminar in case of insufficient participation. With my registration I accept these terms and conditions.
I accept the electronic processing of my personal data by WIETRA for internal administrative purpose. No personal data will be passed on to third parties. For more details refer to Datenschutzerklärung.

Yes, I accept the terms and conditions.*