Booking FormIf you are unable to book online, you can download a form to print and mail to us.Download Printable Booking FormCourse BookingWaiting list bookingWhich course do you want to book* Introduction to Shamanism, August 2019 Introduction to Shamanism, September 2019 Toltec Shamanism, 2019-2020 Healing Circle Training, January 2020Which waiting list course do you want to book*When do you expect to arrive? I will arrive the evening before (£25 B&B) I will arrive before 10am the morning of the eventWhen do you expect to arrive? I will arrive the evening before (£25 B&B) I will arrive between 2pm and 6pm on the dayPayment information A non-refundable deposit of £50 (£200 for the Toltec courses) is required to confirm your place, and any outstanding balance should be paid at least three weeks prior to course start date. Payments can be made by cheque or bank transfer - details will be provided by email after you submit this form.About YouName* First Last Address* Street Address Address Line 2 City County / State / Region ZIP / Postal Code CountryAfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Phone number*Email* Mailing list Please add me to your mailinglistWe send emails occasionally and you can unsubscribe at any time. We will not give your details to third parties.Emergency Contact Informationrequired*Emergency Contact Name*Emergency contact phone number*DietaryDietary requirementsAll meals provided are vegetarian. Due to the additional food costs and preparation required for restricted diets, we are only able to cater for this when due to medical conditions or food allergies. Therefore, please only tick the appropriate dietary requirement box/es on the booking form if this applies. Vegan Wheat free Gluten free Sugar free OtherOther dietary requirements*MedicalMedical requirements*Due to the varied nature and content of our workshops/retreats it is essential that you let us know about any current medical conditions, medications or mental health issues that may affect your participation.I have no medical/physical/mental health conditions that may affect my participationI have the following conditions which may affect my participation:Medical requirements*Other InformationHow did you hear about us?Other informationIf you need to let us know about anything else, please do so belowPhoneThis field is for validation purposes and should be left unchanged.
