Request edit access
Dance of Soma & Psyche Booking Form
Sign in to Google to save your progress. Learn more
Email *
What course you are applying for? *
Date of the module you are applying for: *
Your name: *
Your date of birth: *
MM
/
DD
/
YYYY
Contact number: *
Full Address (& postcode) *
Confidentiality:
All the information given in this form is fully confidential and would be treated with respect. It will be read only by the workshop facilitators who are abiding to UKCP code of ethics

Data protection:

Any electronic communication will be with your consent and you can withdraw your consent at any time. If we experience any data breaches we will inform you as soon as possible. 

Any records about you (such as personal details on our booking forms) are kept secure and subject to the general data protection regulations. We will keep those record for the duration of your involvement with IEP - up to 5 years after you graduated. You are entitled to have your data destroyed at any point.  

Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report