Breath to Health Workshop Registration Form

Breath to Health Workshop

Please fill out the form carefully for registration to attend our FREE Breath to Health 3-day workshop taking place between 20th-22nd March 2024. All information you provide will be handled in strictest confidence and in line with GDPR guidelines. This workshop has been kindly funded by Gwent Rapid Innovation Initiative.
Name

First NameLast Name
E-mail
example@example.com
Mobile Number

Terms & Conditions
I confirm that I am participating voluntarily in the Breath to Health Workshop

AgreeDisagree
By attending the workshop, I understand that when undertaking any breathing or yoga exercises, as is the case with any physical activity, the risk of injury is always present and cannot be eliminated. I voluntarily and knowingly recognise, accept and assume this risk.

AgreeDisagree
I have fully disclosed to the Instructor any conditions that I have or may have prior to participating in these Breath to Health sessions. Whilst it is acknowledged that personal injury and/or death resulting from negligence cannot be legally waived, I release and waive any other claims for negligence that I may now or hereafter have against Thriving Communities or the Breath to Health Project Team.

AgreeDisagree

Photography & Data Permissions
Thriving Communities and the Breath to Health Project Team may take photographs of me for any promotional materials including any of the following: social media, websites, flyers/posters. I understand I will not be identified by name.

AgreeDisagree
I agree to be added to an email list to be kept informed of future Thriving Communities and Mind and Body Wellness programme events (including the Breath to Health workshop series). I understand that my data will never be shared with a third party, and I can unsubscribe at any time.

AgreeDisagree
The data provided above will be stored and processed in line with GDPR guidelines in order that: my Instructor has knowledge of any injuries when teaching me; and I may be contacted in emergencies. I understand that I can withdraw my consent for my data to be held and/or processed at any time and that to do so I should contact Dr Manmeet Kaur at hello@thrivingcommunitiescic.org.

AgreeDisagree
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Breath to Health Workshop