Reservation

Surname *
Name of the mother : * *
Name of the father : *
Phone * *
Email * *
Address
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry

Does the child need special devices?(If so, please provide more detailed information)
Is the child under medical treatment? (If so, which medecines, when and in which intervals does the medication take place, for what purpose and how. Please provide detailed information )
Strengths and weaknesses of the child?
Can the child swim?
What do you know about the dolphin therapy?
Which therapy types were tried before and what were the results?
Does the child have brothers and sisters (if so, please tell us their sex, age and expectations)
If allergies exist, please name them.
Where will you stay in Antalya?
Terapi Time Which date do you intend to come?
Please determine the required period for the therapy, and add, if necessary, any kind of further information.
Soulscience School Konyaaltı cd.132.sk., No:6/2 07050 Antalya. Phone: +90 532 372 6544 Email: [email protected]