FREE Power of Breath & Mind Workshop
Please fill out the form carefully for registration to attend our free workshop "Power of Breath & Mind" on Thursday, 26th February 2026 between 10am and 11.30am at Glan Y Nant Community Hall. All information you provide will be handled in strictest confidence and in line with GDPR guidelines.
Name
First Name
Last Name
E-mail
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Mobile Number
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How did you hear about us?
Word of Mouth
GP
Counsellor or other Health Professional
Flyer / Poster
Internet / Social Media
Newspaper / Magazine
Other
Have you attended any of our Mind and Body Wellness Sessions or Breath to Health Workshops in the past?
Yes
No
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Terms & Conditions
I confirm that I am participating voluntarily in the Power of Breath & Mind Workshop
Agree
Disagree
By attending this workshop, I understand that when undertaking any breathing or gentle chair 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.
Agree
Disagree
I have fully disclosed to the Instructor any conditions that I have or may have prior to participating in these Mind and Body Wellness 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 Mind and Body Wellness Project Team.
Agree
Disagree
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Photography & Data Permissions
Thriving Communities and the Mind and Body Wellness 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.
Agree
Disagree
I agree to be added to an email list to be kept informed of future Thriving Communities and Mind and Body Wellness Programme events. I understand that my data will never be shared with a third party, and I can unsubscribe at any time.
Agree
Disagree
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.
Agree
Disagree
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