Mind and Body Harmony - Ebbw Vale Institute

Mind & Body Harmony Event Registration

Please complete the form below to confirm your attendance at this special unpaid carers event on 2nd October 2026 at Ebbw Vale Institute (10.00am-12.00pm).
Name

First NameLast Name
Email
example@example.com
Mobile Number
Please enter a valid phone number.Format: 00000-000000.

Emergency Contact Name

First NameLast Name
Emergency Contact Number
Please enter a valid phone number.Format: 00000-000000.

Any Current Health Concerns?
Current Medication
How did you hear about this event?
I agree to be added to an email list to be kept informed of future Unity in Health events. I understand that my data will never be shared with a third party, and I can unsubscribe at any time.
Unity in Health 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.
The data provided above will be stored and processed in line with GDPR guidelines. 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@unityinhealthcymrucic.org.uk.
NB: If you have any questions in relation to this form, please do not hesitate to email the team at hello@unityinhealthcymrucic.org.uk. This event is free of charge. If you change your mind about attending, please let us know as soon as possible so that we can allocate the space to someone else. Thank you!
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Mind & Body Harmony Event Registration