Retreat Registration Te Manawa June 14-16
Email address *
About You
Name *
Your answer
Mobile *
Your answer
Where do you live ? (city or town) *
Your answer
Emergency Contact Person and Mobile Number *
Your answer
Any current health problems? *
Your answer
Are you taking any medication? *
Your answer
Any past health conditions or surgery? *
Your answer
Your Food Needs:
The evening soups and lunch meals will be vegetarian. please bring your own breakfast. Ticking the box below will make food planning easier as a group *
Please specify anything else you would like the organizers to know
Your answer
The Retreat
How often do you practice Qigong? *
Which Yuan gong methods have you learnt ? *
Required
Which of the Methods would you like tuition on during the retreat? (we will choose what best suits group but input appreciated) *
Your answer
What would you like to experience at this Retreat? *
you can tick more than one
Required
Investment for the two day retreat is $ 350 including dinner and accommodation and tuition for two days.
Accommodation *
Please understand accommodation is limited and we will do our best to accomodate your wishes.
Please pay into 123494005895000 Account name: NJ Meijer (REF: your name/ Code:June retreat) (see refund policy below***) *
Thank you for your registration we are already excited about offering this nourishing and uplifting weekend : ) If you have any questions at all please email Natalie natalie@heartwisdom.co.nz or Rachel at info@thinkqi.co.nz
**** REFUND POLICY***
Fully refundable if you cancel 30 days before event
50% refundable if you cancel up to 7 days before event
No refund one week before event
NB If we can fill the space you will receive a full refund minus 15% admin fees
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