Ayurveda Consultation Registration
Thursday, 18th April 2024 at Llanbradach Community Centre (All submitted data handled confidentially and according to our Privacy and GDPR Policies - email hello@thrivingcommunitiescic.org for a copy).
Name
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First Name
Last Name
Email
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Mobile Number
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Past Medical History
Any Current Health Concerns
Please list any current medications you are taking
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You will be allocated a 15-minute time slot within the hour of your preference. Please choose your preference/s.
10.00am-11.00am ALL SLOTS ARE NOW TAKEN
11.00am-12.00pm ALL SLOTS ARE NOW TAKEN
1.00pm-2.00pm - ALL SLOTS ARE NOW TAKEN
2.00pm-3.00pm - ALL SLOTS ARE NOW TAKEN
Please confirm that you agree to pay £10 for your 1:1 consultation in cash on the day
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