Reiki Retreat registration
October 4th-6th, 2019
at Serenity Cottage, Aughton, East Yorkshire, YO42 4PG
Contact us at 0794 169 7047 or
Email address *
Personal details
Name *
Your answer
Address *
Your answer
Telephone number (mobile preferred) *
Your answer
Emergency contact name & number *
Your answer
Medical conditions and allergies
If you have any medical conditions or food allergies you should indicate them below or state "none". *All information is treated in the strictest confidence. It is your responsibility to inform us of any physical or mental health issue which you may have or any injury recent or past. Also let us know if you are pregnant. Please update us on arrival if applicable.
Your answer
Booking details
Residential or day attendance? *
Dietary restrictions *
Booking Conditions
1. A non-refundable deposit is necessary to secure your place and the balance is payable 2 weeks before the event. 2. Please note that the place is non-refundable, but you are welcome to find a replacement person if you can't make it for any reason. Cancellation, for whatever reason, should be notified to us in writing or by email. WE WOULD STRONGLY ADVISE ALL ATTENDEES TO TAKE OUT APPROPRIATE CANCELLATION INSURANCE. 3. In the unlikely event that the event is cancelled, full refunds will be given for any money paid up to the date of the cancellation. No responsibility can be taken for travel booked or other costs incurred. 4. All medical information and food allergy details must be received before making any booking. No responsibility can be taken for information not given prior to the commencement of the course.
I have read and accept the booking conditions *
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service