Group Healing Registration

* Indicates required field

I wish to register for the Group Healing Circle: *

Thursday 20th May - Thursday 24th June (6 weeks)

Name *

First

Last

Email *

Phone Number *

Address *

Please share a little about your current journey and why you are joining this group (this is confidential) *

Emergency Contact *

I understand that: *

The investment for this Group Healing Circle is $299 and is payable prior to the first day, unless alternative arrangements have been made. This workshop is not a replacement for any medical care I may be receiving. The outcome is dependent on how willing I am to share my journey and how often I utilise the new tools and techniques I am learning.