Booking Form for Embers & Bone
Please fill out the form as fully as you can, so we can make the courses the best they can be.
Your place will be confirmed when your deposit has been received.
Please fill out this form for each adult participant.

Pourriez remplir le formulaire, de manière aussi complète que possible, pour que nous puissions organiser le cours de la meilleure manière possible? A remplir par chaque participant adulte.

For more info on the courses please see the website -
https://talberou.com/pages/embers-bone

Pour plus d'infos sur le cours, en français, visitez
https://talberou.com/pages/embers-bone

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Your details 

Vos coordonnées
Name 

Nomme
 *
Name you would like to be called by 

Comment voulez-vous être appelé?
 *
Gender - Sexe
Clear selection
What is your pronoun

Quel est ton pronom ?
Clear selection
Age
Clear selection
Address 

Adresse
Postcode 

Code postal
 *
Telephone numbers (landline and/or mobile) 

N° de téléphone (fixe et portable)
 *
Email address 

Adresse email
 *
Emergency contact & their relationship to you  

Personne de contact en cas d'urgence & son lien à vous
 *
Emergency contact number 

N° de contact d'urgence
 *
The food provided will be vegan with vegetarian options. Do you have any other special dietary needs? (Please make it clear if you are highly allergic to something). 

La nourriture fournie sera végétalienne avec des options végétariennes. Avez-vous d'autres besoins alimentaires particuliers ? (Veuillez préciser si vous êtes fortement allergique à quelque chose).
Other needs, ie mobility, learning difficulties, allergies, health challenges 

Autres besoins, c'est-à-dire la mobilité, les difficultés d'apprentissage, les allergies, les problèmes de santé...
Your Investment - Votre investissement
Option 1: In Full One simple instalment using PayPal of £575:  COMPLETE IN FULL Or Bank Transfer: 

IN POUNDS:

Name: NICOLA Taylor
Account number: 93121977
Sort code: 23-08-01
IBAN: GB18 TRWI 2308 0193 1219 77
Swift/BIC: TRWIGB2LXXX
Address: Wise Payments Limited, 1st Floor, Worship Square, 65 Clifton Street, London, EC2A 4JE, United Kingdom

IN EUROS €665

Name: NICOLA Taylor
IBAN: BE05 9051 9841 0675
Swift/BIC: TRWIBEB1XXX
Address: Wise, Rue du Trône 100, 3rd floor, Brussels, 1050, Belgium

Option 2:  3 Easy Instalments £195/€225 DEPOSIT Then 2 x instalments of £190 (€220) INSTALMENT LINK

Please pay at least one instalment before the 1st August and the final payment can be paid on arrival to the gathering. Bank Transfers for Deposit and Instalments:  

IN POUNDS:

Name: NICOLA Taylor
Account number: 93121977
Sort code: 23-08-01
IBAN: GB18 TRWI 2308 0193 1219 77
Swift/BIC: TRWIGB2LXXX
Address: Wise Payments Limited, 1st Floor, Worship Square, 65 Clifton Street, London, EC2A 4JE, United Kingdom

IN EUROS: 

Name: NICOLA Taylor
IBAN: BE05 9051 9841 0675
Swift/BIC: TRWIBEB1XXX
Address: Wise, Rue du Trône 100, 3rd floor, Brussels, 1050, Belgium

Here’s What Happens Next

You'll receive your confirmation email with all the pre-gathering details.
Each instalment comes with a confirmation email and a sprinkle of excitement.

We look forward to welcoming you 🧡🍃

 

Accommodation - would you like a bed in a shared (same-sex) yurt or dorm during your stay or a private space or are you bringing a tent?
How much are you paying now? Combien payez-vous maintenant? *
More about you to help us shape the courses - En savoir plus sur vous pour nous aider à élaborer les cours
The more we know about you the more we can tailor the events to meet everyone's needs - Plus nous en savons sur vous, plus nous pouvons adapter les événements pour répondre aux besoins de chacun..
What are your intentions? What do you hope to get out of this experience? - Quelles sont vos intentions ? Qu'espérez-vous tirer de ces expériences ? *
What other events or courses of a related nature have you attended?
What other related knowledge/experience/skills do you have? - Quelles autres connaissances/expérience/compétences connexes possédez-vous ?
How did you hear about this? - Comment en avez-vous entendu parler ? *
Would you like us to keep your contact details and add you to our mailing list, so you can be kept informed of future events? - you can unsubscribe at any time. - Souhaitez-vous que nous conservions vos coordonnées et que nous vous ajoutions à notre liste de diffusion, afin que vous puissiez être tenu informé des événements à venir ? - vous pouvez vous désabonner à tout moment. *
For more information or if you are stuck with any of this -
Please get in touch with Niki - niki@talberou.fr

Thank you for your time.

Niki, Nicola, Daisy, Anne & Gabrielle
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