EmailMe Form - TUM Skills Immersion Application

Name
First Last
Email
Will you be requiring any of the following

Yes No

Chaperone

Special seating

Special diet

Learning accommodations

Physical accommodations

Childcare

Other
Please Specify any special health conditions or other physical/ learning accommodations you would like to be available to you throughout this skills immersion retreat.
Please Specify any dietrary restrictions or prefences you have for the duration of this Skills Immersion Retreat.
What is your language of preference for learning?
What is your level of Quechua Speaking?
None
Somewhat Fluent
Very Fluent
What is your level of Spanish Speaking?
None
Somewhat Fluent
Very Fluent
What is your level of English Speaking?
None
Somewhat Fluent
Very Fluent
Do you have any experience with practicing massage, acupressure, or MOXA? If yes, please explain.
Do you have any experience with abdominal massage or holistic well womb care of any kind? If yes, please explain.
Do you have any experience with altitude sickness?
Which part(s) of this Skills Immersion Retreat are you most looking forward to?
Do you recognize that the indoor sleeping arrangements we provide for this Skills Immersion Retreat are shared with the other students?
no
yes