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Walking with Loss, online retreat 
A weekend journey of support for people experiencing all kinds of loss. 
Starting Friday 14th March
7- 8.30pm opening circle

Venue - online and natural settings of your choice

Your suggested donation
£55 - £99 
bursaries available on request

Course dates 
14th - 16th March 2025

Friday 14th 
7- 8.30pm

Sat 15th
10 - 11.30am
Evening 7-8.30pm

Sunday 16th
10am - 11.30am
Afternoon 4-6pm


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Email *
Name *
pronouns
mobile phone number *
What drew you to sign up for this course? 
Are you dealing with any particular loss or losses at the moment?
Do you have any health conditions including mental health or neurodiversity, that we may need to be aware of to plan our sessions for your comfort, safety and full inclusion?                                                         *
Payment £55 -£99 to confirm your place. 
 
*
Please pay by BACs
Nickie Aven CIC (this is a business account)
Bank  Starling
Account Number 66429343
Sort Code   60 83 71

 Payment must be received by 13th March 2025
If you would like to apply for a bursary please email Nickie - nickie.aven@gmail.com


Required
Cancellations & Refunds
If you decide to leave, during the course there will be no refund. 
If we have to cancel the course before it starts, you will receive a full refund.
If we have to cancel a session, we will reschedule it.
If you decide to cancel before the course we will be unable to give you a refund.

Agreement
By submitting this form I agree to the terms laid out above.

Your facilitators will make every effort and take all reasonable precautions to ensure safety and well-being for all involved.  It is important that you take responsibility for your own well-being and safety also.

By submitting this form you acknowledge that your participation in the course and use of all information provided is at your own risk, and that Emma Capper & Nickie Aven cannot be held liable for any harm occurring as a result your participation.

I understand that the content of this form is confidential and the information shared will be used to inform the facilitators named below for planning and delivering this event and will not be used by any other party. 
Nickie Aven
South Brent, Devon UK
signed (your typed signature will suffice)
*
Today's date *
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Thank you for filling out this form
After receiving your payment we will send you a confirmation email with more details and venue directions.   
Any questions, please reach out and call Emma on 07771515817  or Nickie 07765242128 . 
Best wishes Emma and Nickie
“Perhaps they are not stars, but rather openings in heaven where the love of our lost ones pours through and shines down upon us to let us know they are happy.”
—Eskimo Proverb

“Don't be ashamed to weep; 'tis right to grieve. Tears are only water, and flowers, trees, and fruit cannot grow without water. But there must be sunlight also. A wounded heart will heal in time, and when it does, the memory and love of our lost ones is sealed inside to comfort us.”
― Brian JacquesTaggerung
River Aven
A copy of your responses will be emailed to the address you provided.
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