TRIBE! - Workshop booking Form
This event is open to 5Rhythms dancers who are interested in deepening their engagement with their world. Some experience of 5Rhythms is necessary, though other training and backgrounds may be considered.
You will be committing to attend all four of the workshops and pay the price for the whole series.
To book your place on this workshop please complete this form as fully as you can.
Event Dates & Location information
Part 1 - Friday April 5th 8pm - Sunday April 7th 4pm
Part 2 - Friday 3rd May 8pm - Monday 6th May 4pm
Part 3 - Friday 31st May 8pm - Sunday June 2nd
Part 4 - Friday July 5th 8pm - Sunday 7th 4pm

Location is Wildways Retreat Center, Netherton, Shropshire, WV16 6NJ - wildheartdance@gmail.com - 07761 856154

A 5Rhythms group with Neil Pinnock
Your Details
Name *
Your answer
Email *
Your answer
Telephone contact number *
Your answer
What is your 5Rhythms experience? *
Payment
Please make payments by bank transfer or by cheque.
Bank Transfer: Sort: 40-07-33 Account: 12032104 (use ‘Tribe’ and your name as ref).
Make cheques payable to Mr N Pinnock and send to Wildways, Netherton, Shropshire, WV16 6NJ.
*A non refundable deposit of £195 will secure your place in the group. Remaining fee can be paid in two instalments.
There will be a bursary place available at a cost of £500 for somebody with limited means. Applications only
Options *
Bursary scheme
We live in a society with high levels of inequality. Wild Heart Dance runs a bursary fund to assist students who could otherwise not participate. You are welcome to apply to me directly if you feel money is the only reason that you could not attend. Otherwise, please consider an act of generosity and make a donation to support a participant in financial need. All fees include booking, workshops, shared residential accommodation or camping and private facilities at Wildways.
Please add a donation to the bursary fund
Final payment amount *
Your answer
I have paid by *
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