Bio-Leadership Ground Workshop NL 2019
Registration Form
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Name of Next of Kin and Telephone Number *
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Travel plans. *
Dietary Requirements *
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. *
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Are you allergic or sensitive to any medication (e.g. Penicillin), insect bites or food? *
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.
Payment details:

The Bio-Leadership Company

Bank address:
Co-operative Bank, PO Box 101, 1 Balloon St, Manchester, M60 4EP, United Kingdom

Sort Code: 08-92-99
Account Number: 69222311

IBAN: GB92CPBK08929969222311
BIC: CPBKGB22
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