Dance Registration Form

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Registration form for the Aisling Eala Swan Dance ceremony 2023

Name *

Email address *

Phone number *

Do you want to attend the Swan Dance on Sunday 19th March 7am-Early evening

Yes

Clear selection

Do you want to attend the Community ceremony day of Drum & Chant, Dance Site build and Sweat Lodge- 10am-6pm?

Yes

Clear selection

I have medical issues, including allergies that I would like to bring to the attention of the Dance sponsors/guardians. If yes, please include details in notes below (the information will be respected and only shared on a need to know basis):

Yes

Clear selection

I will: *

Thoroughly read the information pack and clarify any questions I have in advance of the Dance/Ceremony

Look after my health needs during the dance, including bringing and taking medicines prescribed for health/medical reasons

Not consume alcohol or mind altering substances

Required

Do you want to stay overnight on Saturday 18th? If yes please state if camping or to stay in the Temple (own blankets etc)

Yes

Camping

In Temple space

Clear selection

I understand: *

- that this Dance may bring profound healing, insights, teachings and visions/dreams

- I am responsible for my body’s needs, including if I choose not to fast, bringing and consuming basic foods and liquid that my body will need during the ceremony

- I assume full responsibility for my health, welfare and well-being preparing for, during and in the days after the Dance

- I need to be fully self - sufficient with food throughout

- I will take full responsibility for all that the ceremony brings

Required

Please let us know your donation amount

€40 Sunday Dance ceremony with Saturday

€40 for Sunday Dance Ceremony

€20 for Saturday community drum, chant & sweat

Other:

Clear selection

Please let us know which payment method you will use *

PayPal - **Please pay as a Friend** donate through paypal accountpaypal.me/templeofeiriu

I will donate through the bank account 47328036, sort code 93-72-58, AIB Bank Sligo, in the name of the Temple of Éiriú. IBAN number IE63 AIBK 9372 5847 3280 36, BIC - AIBKIE2D

I will pay cash on the day

Any questions or comments for the organisers?

Date *

YYYY

Signed *

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