Regenair SE – Bookings & Registration Please fill out this form to join Regenair’s activities FormuIaire d'inscription def english (#3) (#7) Regenair Sejours Experiences Commitment & Safety Agreement Form This document aims to ensure the smooth running of the workshop and the safety of all participants within the workshop, lounge, and garden areas. 1.Participant InformationFirst NameLast NameAddressAddress Line 1Address Line 2CityStateArea CodeCountrySelect the countryAfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDemocratic Republic of the Congo (Kinshasa)DenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRepublic of the Congo (Brazzaville)RomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (Dutch part)Saint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom (UK)United States (US)United States (US) Minor Outlying IslandsUnited States (US) Virgin IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabweE-mailPhone #Emergency Contact (Name & phone number)Please select your stay/activity and pay the deposit Artilanguage Stay (30% deposit out of 545€) Callirelax Stay (30% deposit out of 490 €) 2-day weekend calligraphy workshop 200$ Enluminure Stay (30% deposit out of 545€) Illlumination weekend (2 days 220€) Annual Illumination workshop (30% deposit 545€) Illumination (monthly plan 65€) Illumination (10-session pass 200€) Illumination (30€ a session) Callisoir (30% deposit of 490€) Callisoir (monthly plan 60€) Callisoir (10-session pass 180€) Callisoir (25€ a session) Annual Gilding workshop (30% deposit 580€) Gilding (monthly plan 92€) Gilding (10-session pass 220€) Gilding (30€ a session) Jardijoie (100€ deposit 1st term out of 300 €) Balades Nature (1 day) Balades Nature (half a day) Visites découverte (1 day) Visites découverte (half a day)Choose your week for Artilanguage Fm Mon 06 to Fri 10 July 2026 Fm Mon 03 to Fri 07 August 2026 Fm Mon 31 August to Fri 04 September 2026 Fm Mon 19 October to Fri 23 October 2026Choose your week for Callirelax Fm Mon 20 to Fri 24 July 2026 Fm Mon 21 to Fri 25 September 2026 2 daysChoose your week for Enluminure Fm Mon 17 to Fri 21 August 2026 Fm Mon 28 September to Fri 02 October 2026 Fm Mon 26 to Fri 30 October 2026 Fm Mon 14 to Fri 18 December 2026 annual sessionChoose Callisoir full-year session Monday evening otherJardijoie full-year session half a day a month (Morning or afternoon,according to weather conditions)Choose option Balades Nature (1 day) Sun 06 September 2026 The Touvre karst basinChoose option Balades Nature (half a day) Sun 23 August 2026 Sketch the moment. Nature Sketching Sun 20 September 2026 Draw the landscapeChoose option Visites decouverte (1 day) Su 26 July 2026 Romanesque buildings of Charentechoose option Visite decouverte (half a day) Sun 09 August 2026 Balzac : Bois des Chabots, castle, church2. Health Status & Fitness I certify that I have no medical contraindications to participate in the proposed activities. I commit to reporting any physical discomfort during the relaxation exercises. Any allergies (ink, pigments, garden plants,..) 3. Safety & Responsibility Commitment Outdoor areas: I acknowledge that the garden is a natural space. I commit to staying on designated paths and exercising caution (wet or uneven ground). Craft tools: I commit to handling feathers, inks, and sharp tools with care, following the instructor's guidelines. Personal belongings: I remain fully responsible for my valuables. The organization declines all responsibility in case of loss or theft. Property damage: The workshop involves the use of indelible inks. I acknowledge that I have been advised to wear appropriate clothing (or an apron). 4. Code of Conduct I commit to respecting the peace and quiet of the workshop, punctuality, and the digital disconnection policy (phones on silent mode). Media rights: I authorize the organizer to photograph my creations for promotional purposes (social media, website). By checking this box, I validate my pre-registration and accept the workshop's internal regulations.Pay with Card (Stripe)No payment items have been selected yetRegister