LUP interest form

LUP interest form

Please complete the following form to express your interest in attending one of our events or joining our online coaching community. Please be aware that we are not a counselling service and may not be able to support your needs or requirements.
Name*

First NameLast Name
Email*
example@example.com
Phone number
Please tell us your age.
Please select what you are interested in attending.

In person workshopsOnline sessionsOutdoor activities
For insurance and health and safety purposes, are you currently taking any medication?*
For insurance and health and safety purposes, do you have any health conditions we need to be aware of? *
Availability - To help us tailor our events please select the times that best suit you.

Monday AMMonday PMTuesday AMTuesday PMWednesday AMWednesday PMThursday AMThursday PMFriday AMFriday PMSaturday AMSaturday PMSunday AMSunday PM
How did you hear about us?
If you have any questions or feedback please let us know.
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