Breathe & Energise Retreat Registration Form

Breathe & Energise Retreat

Please complete the following form to register for our Breathe & Energise Retreat at Manmoel Village Hall on Saturday, 21st September (2pm to 5.30pm). If you have any questions about this, please email Esther at hello@thrivingcommunitiescic.org.
Name*

First NameLast Name
E-mail*
example@example.com
Mobile Number*
Format: 00000-000000.

Word of MouthGPCounsellor or other Health ProfessionalEmailFlyer / PosterInternet / Social MediaNewspaper / MagazineOther

Photography & Data Permissions
AgreeDisagree
AgreeDisagree
The data provided above will be stored and processed in line with GDPR guidelines in order that: the exercise, walk and workshop facilitators have 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 Esther Apoussidis at hello@thrivingcommunitiescic.org.

AgreeDisagree

Checkout

Please select the appropriate option. This event is only designed for adults aged 18+.
By bank transfer to Thriving Communities CIC, Account No: 76487539, Sort Code 51-61-02 (as ref use Retreat). Please click Submit button and skip card payment checkout.Card payment - complete checkout below and then click the Submit button.

Payment by Card

Breathe & Energise Retreat - Standard Rate

Standard Rate

£30.00 Quantity

Breathe & Energise Retreat - Premium Member Rate

Premium Member Rate (email hello@thrivingcommunitiescic.org if you wish to become a premium member; it's just £30 per year)

£25.00 Quantity

Total

£0.00

Breathe & Energise Retreat