REGISTRATION FORM

Have you fasted before ?

Would you like to book a treatment (10 percent discount if booked in advance) ?

How did you hear about GoWild ?

You arrival ?

If you suffer from one of the cases mentioned above, please contact us: Advanced coronary disease/ Cachexia (extreme weight loss)/ Anorexia/ Advanced cerebral arteriosclerosis/ Type I diabetes/ Retinal detachment/ Pregnancy or breast- feeding/ Decompensated hyperthyroidism/ Liver failure/ Kidney failure / Tumor diseases / Multiple sclerosis / Ulcer of the stomach or duode- num / Addictions / Psychoses and any allopathic treatment in general. If you want to fast, but are not sure you can do it, contact the Medical Academy of Fasting, you will have access to dozens of doctors who can guide you in your decision.

en_GB