Application form for workshop(Please state which workshop you wish to do) Please enable JavaScript in your browser to complete this form.ClassDateName *FirstLastAddressPhone NumberDate of BirthEmail *Are you on any medication?YesNoDo you have any medical problems?YesNoDo you have any special needs?YesNoIf you answered yes to any of the above please provide detailsAny other relevant information?What experience do you have of healing?What do you expect from this workshop?What do you have to offer this workshop?Submit Please forward a non refundable or transferable 50% deposit of the fee for this workshop via the buy button below.Everyone on my workshop are totally responsible for their emotional, physical and mental wellbeing.If you have any questions you wish to ask before attending please do so.When paying via PayPal please pay as family & friends and use your name when paying.I will acknowledge it when I receive it (thanks in advance)I’m available on Facebook messenger and WhatsApp – 07968341304