The Olive Harvest - An Enquiry into Connection, Conflict & Community Registration
Private and Confidential
Email address *
Name *
Email *
Mobile Phone Number: *
Name of Next of Kin and Telephone Number: *
Your Organization (if any) *
Where Did You Hear About Us? *
How are you planning to arrive and depart to the programme? Please provide train, bus or plane details, or if not known, please email upon booking transport. *
Dietary restrictions *
Do you suffer from any of the following conditions? *
Do you suffer from epilepsy? *
Do you suffer from any other condition requiring that we should be aware of including previous injuries, medical treatment and medication? *
Are you allergic or sensitive to any medication (e.g. Penicillin), insect bites or food? *
Are you taking any form of medication on a regular basis? (If so please ensure that you have adequate supplies of medication for your entire visit) *
Please provide any additional appropriate information concerning your health: *
In order to participate in our Programme it's essential that you have read through and agreed with our Terms and Conditions that you can view here: Please take some time to read through it.
By clicking 'Yes' below you confirm that you have read through and understood the Terms and Conditions agreement between yourself and ourselves. *
To confirm your place we ask for payment of the full amount. Please use your last name as your reference when paying into the bank account below and drop us a quick note when you have made the transfer: Bank name: Revolut bank Account name: Growing Movements Ltd Sort code: 040075 Account: 27477223
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