Registration Form | Blue Nile Lotus

Add your details

First name

Last name

Phone Number that we can reach you at. Pls include area code

Gender

Male

Female

Age

Which workshop would you like to attend?

October 9th - English only

October 10th - Arabic translations available

I don't mind - both dates work for me

Where are you living in Cairo? Please specify the area

What are you currently doing while in Cairo? (eg: job hunting, working, spending time with family, can't find the energy to do anythingetc..)

Have you experienced or been affected by war or conflict-related trauma? If yes, please provide a brief description of your experiences.

Are there any specific symptoms or challenges you are facing as a result of war-affected trauma? (eg: Unable to sleep, feeling anxious, lacking motivation, etc)

What type of support are you looking for? (e.g., I am looking for community, tools to be able to sleep, somewhere to feel safe)

Please share why you would like to join this program

Have you been to Blue Nile Lotus in Sudan? If yes, please tell us when

Are you currently receiving a salary?

If your application is approved, can you commit to joining for the entire duration of the retreat?

Program for Sudanese Women in Cairo. Application Deadline: September 1st

Thursday October 12 - Sunday October 15Location will be disclosed later.