Sign-up form Residential

Surrender - Devotion - Work
Dominikowo, Poland 12-19.12.25

𝐏𝐫𝐢𝐜𝐞 (accommodation, food, facilitation included):

€350 — Emergent Economy
€500 — Lower Economy
€650 — Standard Economy
€800 — Support Ticket

Only 6 paid spots are available. In the event of cancellations, we will return 50% of the payment. Money is charged in dkk due to Mateusz's tax residency.

You can secure your spot by making a direct payment. If you submit the form without selecting a payment option, your spot won't be reserved. PLEASE REMEMBER to let Matesz know if you transfer the money later.

First Name

Last Name

Phone

Email Address

How did you find the event?

Have you ever tried Circling? If yes, what is your experience with the practice?

Circling can be an emotioanlly intense practice. To ensure safety we would like to ask if you have any psychiatric diagnosis? Eg. cPTDS, psychotic disorders, borderline, ...

Please share about your dietary needs (allergies, special diet). You can also include comments about your preferences, eg. what you like to eat for breakfest, lunch, snacks.

Do you know any details about your arrival and departure? Time/place? All good if not yet, but keep us posted!

Anything else on your mind? Questions, comments, desires?

Select an item (Eur/kr)

Emergent Economy 350€ - kr2600

Lower Economy 500€ - kr3700

Standard Economy 650€ - kr4800

Support Ticket 800€ - kr5920

Welcome! We look forward to being together.

Surrender - Devotion - Work Dominikowo, Poland 12-19.12.25

Surrender - Devotion - Work
Dominikowo, Poland 12-19.12.25