Bio-Leadership Ground Workshop NL 2019
Mobile Telephone Number
Name of Next of Kin and Telephone Number
Your Organisation (if any)
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Health Information - Throughout the workshop we will be going through very light outdoor activities, including meditations, time alone in the forest, short hikes of around an hour, and gentle movement practices inspired by Chinese T'ai Chi and Qi Gong. Please let us know if there are any medical or fitness conditions that we should be aware of in general as well as in relation to these activities.
Are you allergic or sensitive to any medication (e.g. Penicillin), insect bites or food?
If yes, please provide accurate details below:
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.
The Bio-Leadership Company
Co-operative Bank, PO Box 101, 1 Balloon St, Manchester, M60 4EP, United Kingdom
Sort Code: 08-92-99
Account Number: 69222311
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