Moon Mother Training Workshop, Belfast 2018
Registration Form
Full Name *
Please write your name as you wish it to be written on your Moon Mother Certificate
Your answer
Address, including City, Province/County and Country *
These details will be included on the Womb Blessing webpage (with your consent) as your official contact details.
Your answer
Email address, website and/or FB page *
These will be included on the Womb Blessing webpage as your OFFICIAL contact email address/website/FB page to be shown on the Womb Blessing page.
Your answer
Email address for communications with you about this workshop (only if different from above)
Your answer
This Workshop includes an accompanying Manual in English, please state below if you require your Manual in another language.
Unfortunately, we do not yet have the Manual in Irish, however, if you are an Irish speaker and are willing to translate the Manual on a voluntary basis, please contact me.
Your answer
If you are Belfast-based or commuting into Belfast for the workshop, would you be willing to host one or more women attending the workshop from outside Belfast/Ireland?
If so, please provide us with more information. For example, how many women are you able to accommodate and what type of arrangement would it be? Single room, shared room, etc. Women will expect to pay some money towards your costs.
Your answer
LUNCH *
You are welcome to bring your own packed lunch. Alternatively, you will be able to order lunch from our caterers (details TBC) please note down any special dietary requirements further down in this form so it can be taken into account. There really are no good cafes or restaurants that are close the centre, unfortunately.
Required
WHAT TO BRING Please tick the relevant options below to let us know what you WILL bring so we can prepare the best possible way *
Required
Unfortunately, Namaste Yoga & Clinic is NOT wheelchair-accesible, but please advise here of your DIETARY NEEDS or any other Special Need you have and we will do our very best to help. *
Your answer
Anything else I forgot or you need to tell/ask me? Please let me know
Your answer
IMPORTANT, Please write your full name to acknowledge having read and accepted the 5 points described below. *
Please note that (1) Attendance of BOTH days of the Workshop is a requirement if you wish to receive your Certification as Moon Mother. (2) This workshop is unsuitable for women who are over 4 months pregnant. If you are over 4 months pregnant and still decide to attend, you do so under your own responsibility. (3) This Workshop is not a substitute for a consultation with a medical professional. (4) You assume full responsibility for your participation in this event . (5) CANCELLATIONS BY PARTICIPANT If you cancel 4 weeks or more before the workshop, you will receive a full refund minus any banking charges/fees, if you cancel between 4 weeks and 1 week before the workshop you will be refunded your payment minus any banking charges/fees and minus £50 which will be retained by us to cover administration costs. If you cancel less than 7 days before the workshop you will not receive a refund.
Your answer
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